منابع مشابه
Clinical stage I seminoma.
Stage I seminoma is highly curable. There are different treatment options for this disease: radiotherapy, surveillance and chemotherapy. In recent years, adjuvant chemotherapy in particular has been extensively evaluated. This paper offers suggestions about the advantages and disadvantages of the different strategies, which will be discussed considering prognostic factors; future perspectives w...
متن کاملBest treatment option for clinical stage I seminoma patients
In the present cross sectional study comprising 106 patients, the authors compared a risk adapted therapeutic strategy in patients with CSI seminoma [1]. The patients were distributed to active surveillance (AS) (n = 84) and adjuvant chemotherapy (ACT) (n = 22) with single dose carboplatin groups. The relapse rates between the 2 groups were similar. The authors advocated AS for patients with lo...
متن کاملTreatment of stage I seminoma: 25 years of experience
AIM OF THE STUDY To review management and outcomes in patients with stage I seminoma after orchidectomy. MATERIAL AND METHODS Between 1979 and 2004 a total 292 patients with stage I seminoma were treated with adjuvant chemotherapy or radiotherapy or were placed on surveillance. Median age at diagnosis was 36 years (range 20-69), with median follow-up 76.5 months (range 11-294). Of the patient...
متن کاملControversies in the management of clinical stage I testicular seminoma
INTRODUCTION Following orchiectomy patients with clinical stage I (CSI) testicular seminoma may be managed by active surveillance (AS) or adjuvant treatment (radiotherapy or chemotherapy). In view of the published data on long-term toxicity, mainly second malignant neoplasms (SMNs), adjuvant radiotherapy (ART) is currently no longer recommended as adjuvant therapy for these patients. The purpos...
متن کاملChoosing Treatment for Stage I Seminoma: Who Should Get What?
Lawrentschuk and Fleshner accurately depict the difficulty in choosing among observation, prophylactic radiation, and adjuvant chemotherapy for clinical stage I testicular seminoma. The physican has competing priorities of avoiding unnecessary treatment while minimizing the overall burden of both therapy and surveillance testing. The patient has to contend with defined risks that exist with any...
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ژورنال
عنوان ژورنال: Asian Journal of Urology
سال: 2021
ISSN: 2214-3882
DOI: 10.1016/j.ajur.2021.03.001