TABLE 5.

Follow‐up regime for Stage I germ cell malignancies ^a

Regimen	Description
Surveillance	Baseline CT chest, abdomen, and pelvis, if not performed preoperatively
	Repeat CT or MRI, abdomen and pelvis at 3 months after surgery
	Repeat CT or MRI abdomen plus pelvis at 12 months
	Pelvic ultrasound alternate visits (not when having CT scan) for 2 years if nondysgerminoma and for 3 years if dysgerminoma
	Chest X‐ray at alternate visits
Clinical examination
1 year	Monthly
2nd year	2 monthly
3rd year	3 monthly
4th year	4 monthly
Years 5–10	6 monthly
Tumor marker follow‐up	Samples: serum AFP and hCG, LDH and CA 125 (regardless of initial value)
0–6 months	2 weekly
7–12 months	4 weekly
12–24 months	8 weekly
24–36 months	12 weekly
36–48 months	16 weekly
48+ months	6 monthly until year 10

Abbreviations: AFP, alpha‐fetoprotein; hCG, human chorionic gonadotropin; LDH, lactate dehydrogenase.

^a Adapted from Patterson et al. ¹⁸³