26th February 2025

A 27-year-old gentleman presents to his GP with facial plethora that worsens when leaning forward or raising his arms

A 27-year-old gentleman presents to his GP with facial plethora that worsens when leaning forward or raising his arms. His bedside observations are normal. He is referred to hospital under the medical team, and a CT abdomen, thorax and pelvis reveals a testicular mass, with significant lymphadenopathy that is causing superior vena cava compression.

He is commenced on high-dose steroids. What is the most appropriate next step in management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.