28-year late spermatic cord relapse of a testicular non-seminomatous germ cell tumour, managed robotically
| Autor: | Michael A.S. Jewett, James R. Hayes, Robert J. Hamilton |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Chemotherapy business.industry Urology Incidence (epidemiology) medicine.medical_treatment 030232 urology & nephrology Treatment options Spermatic cord Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Oncology Refractory 030220 oncology & carcinogenesis medicine Residents’ Room Robotic surgery business Pelvis Germ cell tumour |
| Zdroj: | Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 10(7-8) |
| ISSN: | 1911-6470 |
| Popis: | We present a patient who relapsed symptomatically 28 years postorchiectomy, initially followed by active surveillance for clinical stage I non-seminomatous germ cell tumour (CSI NSGCT). His relapse was localized to the pelvis, managed with robotic surgery, and achieved a complete resection with tumour markers normalized. We highlight the current Princess Margaret guidelines for followup of CSI NSGCT and discuss the trade-off between lifelong radiographic surveillance to detect the very small risk of late relapse. We discuss the incidence and presentation of late relapse, treatment options, and outcomes, highlighting that these tumours are typically refractory to chemotherapy and can often be managed with surgery alone. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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