This course is available as part of the 2016 ASCO Tumor Boards bundle.
This is a case-based activity that includes discussion of a 23-year-old man with no past medical history presenting with enlarged right testis and night sweats. Ultrasound shows a 4 cm hypoechoic right testis mass with increased vascularity. An inguinal orchiectomy is performed, and pathology reveals a 4.2 cm mixed nonseminomatous tumor with lymphovascular invasion present and rete testis involved. Imaging determines the N and M stage, and post-orchiectomy tumor markers determine the S stage. His post-orchiectomy markers are normal by two months, and a CT of the chest, abdomen, and pelvis reveals no evidence of metastic disease, including no enlarged retroperitoneal lymph nodes.
At the end of this course, participants should be able to:
- Identify the AJCC staging system for testicular cancer and the workup needed to correctly stage a patient
- Define the risk categories for clinical stage (CS) I NSGCT and know the risk of recurrence with surveillance
- Evaluate the management strategies for high-risk CSI NSGCT and the pros and cons of each
- Describe the management for NSGCT that has relapsed after surveillance for stage I disease