Would you treat a patient with testicular cancer stage I, pure seminoma on orchiectomy, but with high bHCG (in 1000s) as seminoma or as non-seminoma?   

It would depend on what happens with the HCG of 1000 after orchiectomy. If it normalizes, I would proceed with active surveillance. If it persists or plateaus at a high level post orchiectomy, I would treat them the same way I would with a CSIS non seminoma typically BEP X 3. I would also review the...