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Testicular Cancer — SCE Medical Oncology MCQ

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HardUrological CancersTesticular CancerSCE Medical Oncology

A 29-year-old has metastatic non-seminomatous germ-cell tumour classified as IGCCCG good prognosis. Pulmonary function and renal function are normal. What is the standard first-line regimen?

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Correct answer: A — Three cycles of bleomycin, etoposide and cisplatin (BEP)

For metastatic good-prognosis NSGCT, the EAU standard is BEP for three cycles. Four cycles are used for intermediate- or poor-prognosis disease. EP for four cycles is an alternative when bleomycin is contraindicated, but the stem confirms no such contraindication. The previous answer of BEP ×4 was incorrect.

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