Management of residual mass in nonseminomatous germ cell tumors following chemotherapy

被引:16
作者
Daneshmand, Siamak [1 ]
Djaladat, Hooman [2 ]
Nichols, Craig [3 ]
机构
[1] USC, Inst Urol, 1441 East Lake Ave,Suite 7461, Los Angeles, CA 90033 USA
[2] USC, Norris Comprehens Canc Ctr, Inst Urol, Los Angeles, CA USA
[3] Testis Canc Consortium, Portland, OR USA
关键词
chemotherapy; residual mass; testis cancer;
D O I
10.1177/1756287211418721
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Advanced stage nonseminomatous testis cancer is commonly treated with chemotherapy and surgical resection. Patients with retroperitoneal residual masses > 1cm following induction chemotherapy with normalized tumor markers should undergo a postchemotherapy retroperitoneal lymph node dissection. Post chemotherapy retroperitoneal residual mass less than 1 cm with normal markers may be considered as complete response, although the possibility of residual teratoma and viable germ cell tumor are not definitively ruled out. Excellent long term disease free survival following surveillance may justify this option as the treatment of choice in this cohort of patients.
引用
收藏
页码:163 / 171
页数:9
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