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 for every 2–6 months for the first 3 years and every 6–12 months after 3 years. Tests are often part of follow-up care include blood tests to check serum tumor marker levels, chest x-rays, and CT scans of the abdomen and pelvis.

Secondary Prevention

Follow Up

• Follow-up for testicular seminoma is often shared among the oncologists and urologists and the family physicians.
• Contact the concerned healthcare team if the patient experiences:

• 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.

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:

• 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.
• A thorough physical exam should be done, including:

• 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:

• 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.