79 y/o male who presented with a 5cm L testicular mass and AFP was elevated to 10 preop and remained elevated after surgery. Despite the AFP, path was read as a pure seminoma. But sounds like a stage IS NSGCT to me. Medonc has reservations about giving this guy BEP, he's considering dose-reduced chemo vs observation. Has not yet had a PET/CT, but that is planned. If the patient refuses chemo or is not deemed fit enough for chemo, any role for radiation?