Anaplastic Variant of Classical Seminoma of the Testis: Northern Israel Oncology Center Experience and Brief Review of Literature
| Autor: | Tomer Charas, Moshe Stein, Jamal Zidan, Karen Drumea, Rahamim Ben-Yosef |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Pathology Clinical Research in Oncology endocrine system diseases medicine.medical_treatment lcsh:Medicine urologic and male genital diseases Medicine Center (algebra and category theory) radiotherapy Anaplastic Seminoma Anaplastic seminoma lcsh:R5-920 business.industry General surgery lcsh:R Retrospective cohort study General Medicine Seminoma medicine.disease early stage humanities body regions Radiation therapy good prognosis Good prognosis business lcsh:Medicine (General) |
| Zdroj: | Rambam Maimonides Medical Journal, Vol 5, Iss 1, p e0006 (2014) Rambam Maimonides Medical Journal |
| ISSN: | 2076-9172 |
| Popis: | Objectives: There are only sporadic reports on the clinical behavior and appropriate treatment of anaplastic seminoma. This retrospective study summarizes our experience with the anaplastic variant of classical (typical) seminoma. Methods: Between 1986 and 2006, seven anaplastic seminoma patients were staged and treated at the Northern Israel Oncology Center. Staging procedures included meticulous physical and neurological examinations, complete blood count, full biochemistry profile, specific tumor markers, testicular ultrasound, and other radiological measures. All patients underwent inguinal orchiectomy and were staged properly. Six patients had stage I disease, and one patient had stage IIA disease. Patients were irradiated with doses ranging from 2,500 to 3,000 cGy, and the stage IIA patient received an additional 1,000 cGy boost to radiographically involved lymph nodes. Results: After a mean follow-up of 11 years, six patients are alive with no evidence of disease. One patient died due to an unknown, non-oncological, cause, unrelated to his previous testicular tumor, while in complete remission. Conclusions: Despite the low patient numbers and the retrospective nature of our study, it can be concluded that radiotherapy treatment for early-stage anaplastic seminoma patients might achieve the same excellent survival as for classical seminoma. However, the general consensus achieved through large-scale studies suggests that active surveillance should be offered to all stage I seminoma patients, regardless of the pathologic variant. |
| Databáze: | OpenAIRE |
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