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Testicular Cancer — SCE Medical Oncology MCQ

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HardUrological CancersTesticular CancerSCE Medical Oncology

A 31-year-old with stage IIA seminoma has a 2.7 cm para-aortic node, normal markers, normal renal and lung function, and a history of severe inflammatory bowel disease making dog-leg radiotherapy undesirable. Which curative regimen is most appropriate?

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Correct answer: B — Three cycles of BEP

Stage IIA seminoma requires curative treatment. When radiotherapy is undesirable, standard chemotherapy is BEP for three cycles; EP for four cycles is used if bleomycin is contraindicated. Single-agent carboplatin is an adjuvant stage I option, not standard treatment for stage II disease. The previous answer incorrectly offered carboplatin.

Reference: EAU guideline on testicular cancer: disease management (2026 limited update): https://uroweb.org/guidelines/testicular-cancer/chapter/disease-management