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AFP is increased (>2.5). Repeat is also elevated. Next step?

User Surrogate
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Final answer:

If the patient's AFP level is elevated (>2.5), it suggests a possible relapse with an endodermal sinus tumor. Additional tests such as imaging studies, biopsy, and blood tests may be recommended to confirm the diagnosis. Treatment options will depend on the stage and severity of the tumor and may involve surgery, chemotherapy, and/or radiation therapy.

Step-by-step explanation:

If the patient's AFP level is elevated (>2.5), it suggests a possible relapse with an endodermal sinus tumor. In this case, it is important to perform additional tests to confirm the diagnosis and determine the extent of the disease. Some additional tests that may be recommended include imaging studies such as CT scans or MRI, biopsy of the suspected tumor site, and blood tests to assess other tumor markers.

Once the diagnosis is confirmed, treatment options will depend on the stage and severity of the tumor. Treatment may involve surgery to remove the tumor, chemotherapy to kill cancer cells, and/or radiation therapy to target any remaining cancer cells. The doctor will discuss the most appropriate treatment plan based on individual factors and the specific characteristics of the tumor.

Please note that this response is specific to the scenario of elevated AFP in a child previously treated for teratoma. It is always recommended to consult with a healthcare professional for specific medical advice.

User Alex Shnayder
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