Hi Sir, My father have a testicular cancer. High inguinal orchiectomy done 3bep chemo done and RPLND was also done. And the problem is after two months RPLND again 3.5 cm nodes found. So sir guide me what should I do. LDH - 784 Hcg - normal Afp - normal Non-seminona germ cell tumor Pathology report - immature teratoma Age 49 years.
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It is better to give Second line chemotherapy TIP/VIP then repeat markers and CT SCAN and consider surgery for excision of the residual tumor if markers remain high or disease >1 cm seen on Scan.
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Please continue chemotherapy till tumor markers below normal range or zero.
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Dear lybrate-user, This suggests the chemotherapy has not helped. If it is only confined to lymphoma nodes in the abdomen you have to explore with your doctor the feasibility of lymph node dissection followed by repeat chemotherapy and may be Radiotherapy as well. Before this you need a PET scan to rule out that disease has not gone beyond lymph nodes.
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