What factors would lead you to consider RT for men with Stage I seminoma?

I strongly agree that observation should be the first option for Stage I seminoma with normal postop markers. Since cure rate is near 100%, we should be looking for the least morbid managment strategy.

I generally favor observation with an expectation that para-aortic relapses of less than 5 cm shou...

Our current recommendation is observation/surveillance for all stage I seminoma, irrespective of risk factors, as the first line of management unless compliance is a concern.

We are looking at the NCDB database for practice pattern and there is a growing positive trend of surveillance as first line,...