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Objective: To review the available literature concerning the management of postchemotherapy testiscancer.
2
Advanced stage nonseminomatous testiscancer is commonly treated with chemotherapy and surgical resection.
3
Context: Some controversy still exists regarding the management of testiscancer following chemotherapy for disseminated disease.
4
The National Health Service in the U.K. stipulates various testiscancer care modalities be delivered through supra-regional network.
5
Recurrence of teratoma or carcinoma in testiscancer patients found to have teratoma at post-chemotherapy retroperitoneal lymphadenectomy is well recognized.
6
Desmoid tumor should be included in the differential diagnosis of tumor recurrence in testiscancer patients previously subjected to post-chemotherapy retroperitoneal lymphadenectomy.
7
It was acknowledged that non-guideline-concordant care in testiscancer occurs frequently, in the range of 18-30%.
8
Until clinical staging improves, patients presenting with clinical stage A nonseminomatous testiscancer should be offered the option of initial nerve-sparing RPLND versus surveillance.
9
The principles of dose-response and combination chemotherapy were basic to the design of the initial curative standard-dose treatment regimens for leukemias, lymphomas, and testiscancer.
10
At the Canadian TestisCancer Workshop, the rationale and feasibility of regionalization of testis cancer care were discussed.
11
An International TestisCancer Linkage Consortium has been formed to pool resources and will investigate these findings further with the world-wide collection of families.