Men who have early-stage seminoma require long-term follow-up and follow-up protocols for stage IIA seminoma generally do not differ from those used for patients who have treated stage I disease. Reasons for need for follow-up include chance of relapse (especially among surveillance patients), risk for contralateral testicular tumor [48],and long-term sequelae of seminoma or its therapy, including second malignancy and cardiovascular disease. Surveillance for relapse should last for 10 years.

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