32-Year-Old Male Computer Program Recently Relocated to the Bay Area

question 6

Multiple Choice

32-year-old male computer program recently relocated to the Bay Area here to establish care with you. He has a history of depression, alcoholism (in recovery for 10 years without relapse) , and testicular cancer at age 28, s/p a right orchiectomy and lymph node dissection, which he reports was negative for malignancy. He has had annual urology follow-up with "tumor markers," chest and abdominal x-rays. You request his medical records and note that his testicular cancer was a stage 1 nonseminomatos tumor with negative lymph nodes.
-What kind of cancer surveillance does this patient need?

• A) Genital exam
• B) Tumor markers, which include beta hCG, alpha-fetoprotein (AFP), lactate dehydrogenase (LDH) every 6 months
• C) Abdominal and pelvic CT scan
• D) CXR

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Definitions:

Seafloor

The bottom surface of the ocean, covering a vast area and consisting of various geological features like underwater volcanoes, canyons, and plains.

Uplifted

The process by which regions of the Earth's crust are raised to higher elevations, often due to tectonic forces.

Tsunami

A series of ocean waves with very long wavelengths caused by large-scale disturbances under the ocean, such as earthquakes or volcanic eruptions.

Oceanic Trench

Deep, elongated depressions in the ocean floor caused by the subduction of one tectonic plate under another.