Damn that's good you caught it early! European radiological guidelines call for annual testicle ultrasound for testicular cancer survivors if certain risk factors are present, besides prior diagnosis: calcification, and testicular volume <12cc.
I had quite some contact with a researcher...
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I see nothing here that would worry me the slightest.
LDH often is not very useful as a tumor marker during follow up, even for Seminoma (and you mention non-Seminoma diagnosis, which means it's even less useful). Lots of false positives. Strenous exercise can raise LDH, for example....
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I am very sorry to hear of this very late relapse. Since it's such a late and rare relapse, I hope you are able to arrange treatment at a center of experitse for his salvage therapy. I read a lot about Indiana for folks in the US.
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