Follow-up is an integral part of testis cancer therapy, particularly since most relapses occur quickly within the first year.
• Marker levels (some doctors also include a complete blood and platelet count) and chest x-rays should be
taken monthly—definitely no later than at six-week intervals—with CT scans at three- to four-month intervals
during the first year.
• If abdominal or chest surgery has been performed, a repeat CT scan to serve as a new anatomic baseline can be
done six weeks after the operation. Similar tests are then repeated every 8 to 12 weeks during the second year.
Since relapse is very uncommon after two years, the same tests can be done every three to four months for the
third year, every four months during the fourth year and every six months during the fifth year. Some doctors
also do yearly examinations after that, but the value of such testing is uncertain.
• All men should be taught how to examine the remaining testicle and have a sonogram when any change is
found.
Long-Term Toxicity With almost all men being cured and having the expectation of a normal lifespan, therapy has been closely studied to evaluate any long-term toxicities.
• During therapy, nausea and vomiting can generally be prevented or minimized. Alopecia (hair loss) will occur
but hair will return—sometimes thicker, darker and less wavy—within two to six months after chemotherapy
