Late Relapse of Testicular Germ Cell Tumors

2015 ◽  
Vol 42 (3) ◽  
pp. 359-368 ◽  
Author(s):  
Matthew J. O’Shaughnessy ◽  
Darren R. Feldman ◽  
Brett S. Carver ◽  
Joel Sheinfeld
2019 ◽  
Vol 12 (2) ◽  
pp. 500-505
Author(s):  
Toshirou Fukushima ◽  
Takuro Noguchi ◽  
Takashi Kobayashi ◽  
Nodoka Sekiguchi ◽  
Takesumi Ozawa ◽  
...  

Patients with stage I testicular germ cell tumors have a long life expectancy, but the tumors have a potential to relapse after treatment. Although relapse is observed within a few years in most cases, late relapse over 10 years after initial treatment has also been reported in patients with stage I testicular germ cell tumors. We encountered a case of testicular seminoma that developed mediastinal lymph node metastasis 13 years after radical surgery for the primary tumor. The relapsed disease progressed rapidly and the patient died within 1 month due to respiratory failure without any chance for therapy. On postmortem examination, the thoracic lesions were pathologically confirmed to be metastases from the testicular seminoma with yolk sac tumor. Here, we report the clinical course and a review of the relevant literature. Based on our experience, we emphasize long-term follow-up and/or careful examination in patients with stage I testicular germ cell tumors.


2005 ◽  
Vol 23 (6) ◽  
pp. 441-445 ◽  
Author(s):  
Brett S. Carver ◽  
Robert J. Motzer ◽  
Gnanamba Varuni Kondagunta ◽  
Pramod G. Sogani ◽  
Joel Sheinfeld

Urology ◽  
1997 ◽  
Vol 50 (4) ◽  
pp. 588-592 ◽  
Author(s):  
Michael J. Boyer ◽  
Keith Cox ◽  
Martin H.N. Tattersall ◽  
Michael P.N. Findlay ◽  
John Grygiel ◽  
...  

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Robert Hoekstra ◽  
Michael Schaapveld ◽  
Alexandra van den Belt-Dusebout ◽  
Ronald de Wit ◽  
Jourik Gietema ◽  
...  

2005 ◽  
Vol 173 (4S) ◽  
pp. 118-118
Author(s):  
Markus A. Kuczyk ◽  
Gerhard Wegener ◽  
Axel S. Merseburger ◽  
Stefan A. Machtens ◽  
Udo Jonas ◽  
...  

2007 ◽  
Vol 93 (5) ◽  
pp. 428-431
Author(s):  
Beatrice Detti ◽  
Lorenzo Livi ◽  
Silvia Scoccianti ◽  
Icro Meattini ◽  
Mauro Gacci ◽  
...  

Aims and Background Analysis of patients with late relapse of testicular germ cell tumors (GCTs) with reports on clinicopathological features and outcomes. Methods We identified all patients diagnosed with testicular GCTs at our Institute between 1988 and 2004 who developed relapse ≥24 months after completion of primary therapy. A retrospective case-note review was performed to extract clinical, pathological, treatment and outcome data. Results Six patients (1.25%) developed late relapse. All patients presented with stage I disease and were classified as “good risk” according to the International Germ Cell Consensus Classification. Mean time to late relapse was 48 months. Markers at late relapse were normal in all patients. Relapse was confined to retroperitoneal sites in five patients and located in the mediastinum in one patient. Five patients were managed by chemotherapy alone while one underwent combined treatment with surgery followed by chemotherapy. All patients obtained a complete response and all remained free from recurrence with a mean follow-up of 115 months. Conclusions The incidence of late relapse in this small series is low. Chemonaive patients with late relapse were successfully salvaged with chemotherapy alone or surgical excision followed by cisplatin-based chemotherapy. The optimal duration of follow-up in patients with testicular GCTs is not known and practice varies widely. At our Institute we advise lifelong follow-up of all patients with malignant GCTs of the testis.


2004 ◽  
Vol 22 (1) ◽  
pp. 55-59 ◽  
Author(s):  
M. A. Kuczyk ◽  
C. Bokemeyer ◽  
C. Kollmannsberger ◽  
S. Corvin ◽  
A. Anastasiadis ◽  
...  

2001 ◽  
Vol 40 (4) ◽  
pp. 536-540 ◽  
Author(s):  
Finn Edler von Eyben ◽  
Ebbe Lindegaard Madsen ◽  
Ole Blaabjerg ◽  
Per Hyltoft Petersen ◽  
Hans von der Maase ◽  
...  

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