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Seminoma Secondary Surgery Lack of Informed Consent Outcome Misrepresentation Lack of AccountabilitySeminoma. The patient underwent two operations.
The patient underwent two operations.
In March, during the outpatient phase, an MRI was performed, but no additional imaging studies were conducted between that scan and the first surgery. While MRI is appropriate for evaluating local lesions, standard preoperative CT imaging is typically required. The PET/CT scan performed on May 16—the first day of the initial hospitalization—does not appear in the first discharge summary but is instead documented in the second hospitalization record. This PET/CT revealed multiple small lymph nodes in the bilateral inguinal regions, around the iliac vessels, and para-aortic areas. Such findings could potentially have been detected by preoperative CT. Had a proper preoperative CT been done, the surgical plan or even the assessment of surgical suitability might have been adjusted. One might reasonably question whether this omission relates to reluctance to perform the recommended preoperative imaging. The PET/CT on May 16 was an expensive examination, and the first surgery followed just two days later on May 18. Logically, these critical diagnostic and therapeutic steps should not have been scheduled so closely together.
Had the patient connected with this platform at the same time as seeking medical care, many of these irregularities could have been avoided.
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