The management of subcentimeter residual mass in NSGCT: pcRPLND vs. observation

被引：10

作者：

Daneshmand, Siamak ^{[3
]}

Stephenson, Andrew J. ^{[4
]}

Sheinfeld, Joel ^{[5
]}

Jewett, Michael A. S. ^{[1
,2
]}

机构：

[1] Univ Toronto, Div Urol, Dept Surg & Surg Oncol, Princess Margaret Hosp, Toronto, ON M5T 3M4, Canada

[2] Univ Toronto, Univ Hlth Network, Toronto, ON M5T 3M4, Canada

[3] Univ So Calif, USC Inst Urol, Norris Comprehens Canc Ctr, Los Angeles, CA 90033 USA

[4] Cleveland Clin, Glickman Urol & Kidney Inst, Cleveland, OH 44195 USA

[5] Mem Sloan Kettering Canc Ctr, Dept Urol Surg, New York, NY 10065 USA

来源：

UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS | 2011年 / 29卷 / 06期

关键词：

Testis cancer; Post-chemotherapy retroperitoneal lymph node dissection; GERM-CELL TUMORS; LYMPH-NODE DISSECTION; NONSEMINOMATOUS TESTICULAR CANCER; POSTCHEMOTHERAPY RETROPERITONEAL SURGERY; TERM-FOLLOW-UP; COMBINATION CHEMOTHERAPY; STAGE-I; PROGNOSTIC-FACTORS; SALVAGE THERAPY; LATE RELAPSE;

D O I：

10.1016/j.urolonc.2011.05.018

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Patients with advanced non-seminomatous germ cell tumors may achieve a serologic and radiographic complete response (CR) to first-line chemotherapy (defined as a residual mass < 1 cm in size). Recent reports suggest that these patients may be observed with a low rate of relapse but there remain compelling arguments for surgical excision. The arguments for and against post-chemotherapy retroperitoneal lymph node dissection (pcRPLND) are presented. There is clear consensus that patient's with residual masses > 1 cm should undergo post-chemotherapy surgery. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：842 / 847

页数：6

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