Right orchiectomy done, 80% yolk sac, 20% embryonal carcinoma. What next?

[ChrisRO]

Hello,

My name is Cristian, I'm 27 y/o.

Was suspected of TC so I had a right orchiectomy last month. Results are 80% yolk sac, 20% embryonal carcinoma. No evidence of lymphvascular invasion and from the IRM it seems that the cancer has not spread anywhere else (post operation exam shows: pT1).

I've discussed with several oncologists so far and some recommend chemo while others recommend a 'wait and see' alternative. I've been reading for the few weeks on the internet, on forums and I wanted to see what others are saying too, so this is the reason I am posting here.

Personally, I would not want to do chemo, I would prefer to wait and see, check everything once 2-3 months in this first year.

My AFP prior to the orchiectomy was 33. Now, 4 weeks after the operation it is at 9.90 (so it is normal). LDH and BCG were both normal/low prior and after operation.

I hope I provided all the necessary details to get some opinions on how to proceed. Please let me know if there are any details that will allow for a more accurate opinion.

Sorry if my English is not very good.
Thank you in advance,
Cristian

[Geoff]

Given for info, you can do either chemo or surveillance. You still have a risk of relapse, around 30% i believe. But if you can keep toa schedule and are ok with the regularctscans, surveillance is a good choice.