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• W2056518154 abstract "Treatment options in patients with stage I seminoma include radiotherapy (RT), surveillance, and adjuvant chemotherapy. This patient population has virtually a 100% cure rate whichever approach is taken. While adjuvant retroperitoneal RT has been the standard of care for the past 50-60 years, there is increasingly persuasive data that adjuvant RT in this setting is associated with a small but definite increased risk of second malignancy and cardiovascular death. The long-term data from surveillance series have documented the safety of this approach,and it is now accepted that a policy of surveillance is the optimal management approach. This gives a relapse rate of 15%, and most patients can be successfully salvaged with RT. Second relapse after salvage RT occurs in a small proportion of cases, and these patients are cured with chemotherapy. Adjuvant chemotherapy using carboplatin has been investigated as an alternative strategy but has not lived up to its initial promise. If used, then 2 courses of treatment should probably be given. It must be remembered that 80-85% of patients with testicular seminoma require no treatment after orchiectomy,and the long-term side effects of any adjuvant treatment approach must be carefully considered." @default.
• W2056518154 created "2016-06-24" @default.
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• W2056518154 date "2006-01-01" @default.
• W2056518154 modified "2023-09-26" @default.
• W2056518154 title "Treatment Options, Prognostic Factors and Selection of Treatment in Stage I Seminoma" @default.
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• W2056518154 doi "https://doi.org/10.1159/000096608" @default.
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