No longer any role for routine follow-up chest x-rays in men with stage I germ cell cancer

Following radical orchidectomy for testicular cancer, most patients undergo protocolled surveillance to detect tumour recurrences rather than receive adjuvant chemotherapy. Current United Kingdom national and most international guidelines recommend that patients require a chest x-ray (CXR) and serum tumour markers at each follow-up visit as well as regular CT scans; there is however, variation among cancer centres with follow-up protocols. Seminomas often do not cause tumour marker elevation; therefore, CT scans are the main diagnostic tool for detecting relapse.

Source: European Journal of Cancer - August 31, 2017 Category: Cancer & Oncology Authors: H. De La Pena, A. Sharma, C. Glicksman, J. Joseph, M. Subesinghe, Z. Traill, C. Verrill, M. Sullivan, J. Redgwell, E. Bataillard, E. Pintus, N. Dallas, A. Gogbashian, M. Tuthill, A. Protheroe, M. Hall Tags: Original Research Source Type: research