Advanced testicular cancer: Update for urologists

被引:26
作者
Einhorn, LH [1 ]
Donohue, JP [1 ]
机构
[1] Indiana Univ, Med Ctr, Indianapolis, IN 46202 USA
关键词
testicular neoplasms; drug therapy; cisplatin;
D O I
10.1016/S0022-5347(01)62213-4
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
Purpose: Testicular cancer is a model for a curable neoplasm. We review past and present accomplishments in treating testis cancer and emphasize controversial surgical issues of interest to the urologist. Materials and Methods: We reviewed early and recent chemotherapy trials of germ cell tumors, stressing random prospective phase III studies. In addition, we address specific and complicated issues that are of particular relevance for the urologist, analyzing recently published articles. Results: Cisplatin combination chemotherapy has dramatically improved the cure rate for patients with germ cell tumors. The indications for post-chemotherapy resection for residual masses are discussed. Conclusions: The major goal 25 years ago was to develop a successful chemotherapy regimen for disseminated disease, which has now been accomplished with cisplatin combination chemotherapy. Present issues include optimal treatment in patients with poor prognostic characteristics, salvage chemotherapy strategies and indications for past-chemotherapy surgical resection.
引用
收藏
页码:1964 / 1969
页数:6
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