A 29-year-old man was diagnosed with stage II (that is, spread from the primary tumor to retroperitoneal lymph nodes) nonseminomatous germ cell tumor 1 year ago. Treatment included orchiectomy and retroperitoneal lymph node dissection. He now presents with an elevated level of ?-human chorionic gonadotropin hormone and multiple pulmonary lesions ranging in size from 0.61 to 3.22 cm. Needle biopsy specimen of the largest lesion reveals a germ cell tumor consistent with the initial diagnosis. He is asymptomatic. What is the best treatment for this patient?

Question

Quizplus · Accepted Answer

Combination chemotherapy with bleomycin, etoposide, and cisplatin is the standard treatment for metastatic nonseminomatous germ cell tumors, especially when there is evidence of disease progression or recurrence, as indicated by elevated tumor markers and new metastatic lesions.

A 29-Year-Old Man Was Diagnosed with Stage II (That Is