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Interdisciplinary evidence-based recommendations for the follow-up of testicular cancer patients: a joint effort


Cathomas, R; Helbling, D; Stenner, F; Rothermundt, C; Rentsch, C; Shahin, O; Seifert, H-H; Zaugg, K; Lorch, A; Mayer, F; Beyer, J; De Santis, M; Gillessen, S (2010). Interdisciplinary evidence-based recommendations for the follow-up of testicular cancer patients: a joint effort. Swiss Medical Weekly, 140(25-26):356-369.

Abstract

Detailed recommendations for the treatment of testicular cancer exist and due to the stringent application of the standard therapies, most patients can nowadays be cured. Moreover in the treatment of early stage disease, active surveillance is now a cornerstone of treatment. Hence there is a clear need for recommendations regarding the long term follow-up of these young patients. These have to be safe, feasible and the intensity of procedures have to reflect the known risk of recurrence. Different proposals have been published but they differ widely especially in terms of frequency and modality of imaging. In the last few years, new evidence has become available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging in follow-up and the risks of excessive radiation due to imaging, in particular with CT scans. In this article, an interdisciplinary, multinational working group has reviewed the evidence and based on this has formulated practical recommendations for the follow-up of patients with testicular cancer.

Detailed recommendations for the treatment of testicular cancer exist and due to the stringent application of the standard therapies, most patients can nowadays be cured. Moreover in the treatment of early stage disease, active surveillance is now a cornerstone of treatment. Hence there is a clear need for recommendations regarding the long term follow-up of these young patients. These have to be safe, feasible and the intensity of procedures have to reflect the known risk of recurrence. Different proposals have been published but they differ widely especially in terms of frequency and modality of imaging. In the last few years, new evidence has become available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging in follow-up and the risks of excessive radiation due to imaging, in particular with CT scans. In this article, an interdisciplinary, multinational working group has reviewed the evidence and based on this has formulated practical recommendations for the follow-up of patients with testicular cancer.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Radiation Oncology
Dewey Decimal Classification:610 Medicine & health
Date:2010
Deposited On:06 Dec 2010 14:33
Last Modified:05 Apr 2016 14:16
Publisher:EMH Swiss Medical Publishers
ISSN:0036-7672
Publisher DOI:smw-12993
PubMed ID:20544409
Permanent URL: http://doi.org/10.5167/uzh-36344

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