Medical MCQ - A 27 year old man presents with a left testcular tumor with a 10 cm retroperitoneal lymph node mass. The treatment of choice is -

A 27 year old man presents with a left testcular tumor with a 10 cm retroperitoneal lymph node mass. The treatment of choice is –

Radiotherapy

Immunotherapy with interferon and interleukins

Left high inguinal orchiectomy plus chemotherapy

Chemotherapy alone

Question Category:

Correct Answer:

Left high inguinal orchiectomy plus chemotherapy

Description:

Ans. is 'c' i.e., Left high inguinal orchiectomy plus chemotherapy This patient has retroperitoneal lymph node mass, hence its stage II. Its more than 5 cm thus its stage Hc. Treatment of stages for IIC and beyond is the same for both seminomas & nonseminomas i.e. ---> chemotherapy after inguinal orchiectomy

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