Physical Examination 
• A testicular mass that can be felt, particularly a painless mass or one that does not completely clear within
  two weeks of antibiotic therapy, requires further tests. Some doctors now feel that all masses should be
  investigated by ultrasound .
• Enlarged lymph nodes in the abdomen and neck.

Blood and Other Tests 
• Blood tests for markers such as LDH, AFP and HCG.
• Blood counts, biochemical screening profile, serum magnesium and urine collection for a creatinine clearance to
  evaluate kidney function.
• If bleomycin is to be used, lung function tests are performed as a baseline for future comparisons before
  additional treatment (bleomycin can cause lung scarring).
• Analysis of sperm and so-called sperm banking should be considered in most patients, since treatment can
  result in infertility. This might be the result of chemotherapy-induced toxicity or by loss of ejaculation if the
  surgical removal of lymph nodes requires cutting the nerves that control this function.