How would you treat a stage IIIB recurrent seminoma with early recurrence following first-line treatment with VIP?   

If one is faced with recurrent stage IIIB seminoma, I recommend the following: Confirm the diagnosis and prior Rx - review initial pathology, staging, and dose/ intensity of Rx. Sometimes, another clinician has treated the wrong entity - where review shows that it was initially a nonseminomatous ...

I have several comments. The great majority of patients with pure seminoma requiring chemo are good risk disease and therefore, are successfully treated with either BEP x 3 or EP x 4. There are no patients with seminoma with poor risk disease. If he had non-pulmonary visceral disease, he would have ...