Seminoma secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Secondary prevention strategies following seminoma include regular follow-ups.
Secondary Prevention
Follow Up
- Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians.[1]
- Contact the concerned healthcare team if the patient experiences:[1]
- any new lump or swelling
- cough or trouble breathing
- The chance of seminoma recurring is greatest within 2 years, so close follow-up is needed during this time. Even if it recurs, it can be treated.[1]
Schedule for Follow-up Visits
- Most men will have follow-up for testicular cancer for 5–10 years after initial treatment. Follow-up visits are usually scheduled:[1]
- every 2–6 months for the first 3 years
- every 6–12 months after 3 years
During Follow-up Visits
- During a follow-up visit, questions should be asked about the side effects of treatment and how they are coping.[1]
- A thorough physical exam should be done, including:[1]
- checking the remaining testicle
- feeling lymph nodes in your groin, abdomen, and chest
- listening to your lungs
- checking your blood pressure and pulse
- Tests are often part of follow-up care include:[1]
- Blood tests to check serum tumor marker levels to see if they returned to normal after treatment
- Chest x-rays to check if cancer has metastasized to the lungs
- CT scans of the abdomen and pelvis to look for any residual disease or that has metastasized elsewhere
- If a recurrence is found, the situation of the patient is assessed and the best treatment plan is determined.[1]