A 27 year old man presents with a left testcular tumor with a 10 cm retroperitoneal lymph node mass. The treatment of choice is -
Radiotherapy
Immunotherapy with interferon and interleukins
Left high inguinal orchiectomy plus chemotherapy
Chemotherapy alone
Ans. is 'c' i.e., Left high inguinal orchiectomy plus chemotherapy This patient has retroperitoneal lymph node mass, hence its stage II. Its more than 5 cm thus its stage Hc. Treatment of stages for IIC and beyond is the same for both seminomas & nonseminomas i.e. ---> chemotherapy after inguinal orchiectomy