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Germ cell tumor - Coggle Diagram

- - - - persistent TMs
        
        after surgery
- - - - EPx4
      - BEPx3
    - - BEPx4
      - VIPx4
    - - dose reduction
      - use carboplatin instead of cisplatin
    - - post-chemo surgery of all residual sites
        
        guide tx
        
        viable GCT
        
        more chemo
  - - - cisplatin + etoposide +/- bleo