Mediastinal Nonseminomatous Germ Cell Tumors: The Role of Combined Modality Therapy

1982 ◽  
Vol 33 (4) ◽  
pp. 333-339 ◽  
Author(s):  
Nicholas J. Vogelzang ◽  
Derek Raghavan ◽  
Robert W. Anderson ◽  
Juan Rosai ◽  
Seymour H. Levitt ◽  
...  
Surgery Today ◽  
2013 ◽  
Vol 44 (3) ◽  
pp. 499-504 ◽  
Author(s):  
Hideki Kuwano ◽  
Takehiro Tsuchiya ◽  
Tomonori Murayama ◽  
Atsushi Sano ◽  
Kazuhiro Nagayama ◽  
...  

1995 ◽  
Vol 81 (4) ◽  
pp. 299-301 ◽  
Author(s):  
Alfredo Berruti ◽  
Enrica Pazè ◽  
Enrica Fara ◽  
Gabriella Gorzegno ◽  
Luigi Dogliotti

The demonstrated association with hematologic neoplasms may partially account for the poor survival of patients with mediastinal nonseminomatous germ cell tumors (MNSGCT) compared to patients with testicular and retroperitoneal counterparts. It has been shown that the median interval from the diagnosis of MNSGCT to the diagnosis of the hematologic disorders is 6 months, which contrasts sharply with the average time of 2 to 3 years for the development of therapy-related leukemias. The 2 cases herein described, 1 male and 1 female, developed acute M2 leukemia 4 and 2 years after the diagnosis of MNSGCT. In the second patient (the first female ever described), we cannot exclude a pathogenetic role of the PEB regimen (platinum, etoposide, bleomicin), even though the total dose of etoposide administred has been demonstrated to have a mild leukemogenic potential. This is not the case of the first patient, who did not receive adjuvant chemotherapy after the radical resection of primary MNGSCT and developed the hematologic disorder a few months after local recurrence. In conclusion, the time elapsed from chemotherapy administration does not discriminate the hematologic neoplasms associated to MNGSCT from those related to therapy.


2016 ◽  
Vol 05 (01) ◽  
pp. 20-22 ◽  
Author(s):  
Durgatosh Pandey ◽  
Pankaj Kumar Garg ◽  
Mukur Dipi Ray ◽  
Ashutosh Mishra

AbstractFollowing the advent of platinum-based chemotherapy, Surgery, excepting orchidectomy, has become an adjunct treatment in the management of metastatic non-seminomatous germ cell tumors (NSGCT). Role of surgery comes into play in metastatic NSGCT when residual disease persists following standard chemotherapy. Surgical excision of all post chemotherapy residual disease at all places, whenever surgically feasible with acceptable morbidity and mortality, should be undertaken. As histopathological examination of the excised postchemotherapy residue shows only necrosis and fibrosis in significant number of patients; surgical exercise in this group of patients seems futile and unwarranted retrospectively. This issue becomes more contentious when surgeons are confronted with multiple nonretroperitoneal post chemotherapy residues. This article aims to deal with the management of postchemotherapy nonretroperitoneal residues in metastatic NSGCT.


2003 ◽  
Vol 1 (5) ◽  
pp. S254
Author(s):  
J.T. Hartmann ◽  
O. Rick ◽  
K. Oechsie ◽  
T. Gauler ◽  
P. Schoeffski ◽  
...  

2021 ◽  
Author(s):  
Hinata Matsuda ◽  
Tomonori Minagawa ◽  
Hiroyuki Agatsuma ◽  
Takeshi Uehara ◽  
Haruhiko Utazu ◽  
...  

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