Study aid only. Verify against current guidelines, primary literature, staging manuals, and prescribing information before clinical use.

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Testicular Germ Cell Tumors — Treatment by Stage

Testicular germ cell tumor (post-orchiectomy) Stage I seminoma Surveillance preferred Single-agent carboplatin or adjuvant RT Stage I non-seminoma Surveillance preferred BEP × 1 (adjuvant) or nerve-sparing RPLND Advanced — IGCCCG good risk BEP × 3, or EP × 4 bleomycin/etoposide/cisplatin Advanced — intermediate / poor risk BEP × 4 VIP × 4 if bleomycin contraindicated Relapsed / refractory TIP salvage chemo High-dose chemo + autologous stem-cell rescue TI-CE