Clinical history completed: The neurologic symptoms and signs were attributed to a pelvic plexopathy, and spinal cord compression was excluded. After the orchiectomy, he was begun on the first of 4 cycles of cisplatin, etoposide, and bleomycin. He also received radiation to the left leg. He was discharged on crutches and non-weight-bearing on the left leg.
Tumor disappeared except for residual, non-enlarging nodules in the lung, and the patient appeared well and without neurologic deficit. A routine chest CT scan performed in 10/96 showed bilateral lung nodules, which did not appear to have increased in size, and a subcarinal node with central low attenuation, which had increased from 2 to 3.2 cm. Resection of one lung nodule and the subcarinal lymph node was performed in 1/97.
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