32-year-old male computer program recently relocated to the Bay Area here to establish care with you. He has a history of depression, alcoholism (in recovery for 10 years without relapse), and testicular cancer at age 28, s/p a right orchiectomy and lymph node dissection, which he reports was negative for malignancy. He has had annual urology follow-up with "tumor markers," chest and abdominal x-rays. You request his medical records and note that his testicular cancer was a stage 1 nonseminomatos tumor with negative lymph nodes.
-What kind of cancer surveillance does this patient need?

Question

Quizplus · Accepted Answer

The patient had stage 1 nonseminomatous testicular cancer with negative lymph nodes, which typically requires surveillance with tumor markers (beta hCG, AFP, LDH) every 6 months to monitor for recurrence.

32-Year-Old Male Computer Program Recently Relocated to the Bay Area