Testicular Cancer

Seminoma (biopsy proven)

Postdiagnostic Work Up

• CT abdomen and pelvis
• Brain MRI and Bone scan if clinically indicated

Post therapy Evaluation and Surveillance

Stage IA and IB Follow Up if NO Radiation Therapy

• CT abdomen and pelvis
  • Years 1 – 3 every 3 months
  • Years 4 – 7 every 6 months
  • Years 8 – 10 annually

Stage IA, IB and IS Follow Up after Infradiaphragmatic Radiation Therapy

• CT Pelvis 3-4 months for year 1
• Every 6 months year 2
• Then annually for 3 yrs.

Stage IIA and IIB and III after chemotherapy

• CT abdomen at 4 months

Stage IIB, IIC, III after primary chemotherapy

• CT Chest, Abdomen and Pelvis
• PET at about 6 weeks after completion of chemotherapy IF CT shows residual tumor

Nonseminomatous Germ Cell Tumor

Postdiagnostic Work Up

• CT abdomen and pelvis
• Brain MRI and Bone Scan if clinically indicated

Follow Up

Surveillance for stage IA and IB

• Year 1 CT Abdomen every 3 months
• Year 2 CT Abdomen every 4 months
• Year 3 CT Abdomen every 6 months
• Year 4 CT Abdomen every 6 months
• Year 6+ CT Abdomen every 12 months

Surveillance after Complete Response to Chemotherapy and/or Retroperitoneal Lymph node dissection (RPLND)

• Year 1 CT Abdomen/Pelvis every 3 months
• Year 2 CT Abdomen/Pelvis every 6 months
• Year 3+ CT Abdomen/Pelvis every 12 months

References

• NCCN Clinical Practice Guidelines in Oncology Testicular Cancer Version 1.2012 accessed 12/28/10
• NCCN Clinical Practice Guidelines in Oncology Testicular Cancer Version 2.2012 accessed 8/8/2012
• NCCN Guidelines in Oncology Testicular Cancer Version 2.2012 accessed 8/8/2012