Management of residual disease after chemotherapy in germ cell tumors

Jennifer King, Nabil Adra, Lawrence H. Einhorn

Research output: Contribution to journalArticle

Abstract

PURPOSE OF REVIEW: Although testicular cancer remains a highly curable malignancy, challenges and uncertainty still remain in certain aspects of management. Residual disease after chemotherapy in patients with germ cell tumors (GCT) remains one of these challenges. We aim to highlight the recent literature on the management of residual disease after chemotherapy in GCT and the emerging innovations that may provide further guidance into this area. RECENT FINDINGS: A subset of patients with GCT will have residual disease after chemotherapy, and management of these patients involves highly skilled multidisciplinary experts including medical oncologists, surgeons, radiologists, and pathologists. Management options depend on histologic subtype, either seminoma or nonseminoma, and involve size criteria, possible further imaging modalities, and tumor markers. Even with these tools at highly specialized expert centers, uncertainty in management remains, and recent literature has explored the use of newer biomarkers to aid in these cases. SUMMARY: Postchemotherapy residual masses in GCT can prove to be complicated cases to manage. Balancing survival with quality of life outcomes is important and requires a multidisciplinary team experienced in treating GCT.

Original languageEnglish (US)
Pages (from-to)250-255
Number of pages6
JournalCurrent opinion in oncology
Volume32
Issue number3
DOIs
StatePublished - May 1 2020

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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