The wait-and-see policy is a reliable method for follow-up monitoring of patients with stage I NSTGCT. Even in patients with unfavorable prognostic factors, it is justified to await the possible appearance of metastases. For the future, it is recommended that CXR be omitted from the schedule, and it might be feasible to discontinue follow-up evaluations after 5 years.
Polychemotherapy could be administered in an adequate manner using a VAP. Complications occurred in 26.7% of a homogeneous group of patients who received a VAP implantation for polychemotherapy for disseminated testicular cancer. Chemotherapy treatment before VAP implantation was the only independent risk factor for late complications.
Objective To evaluate the resection of the retroperitoneal at laparotomy. There were 26 complications in 20 patients (18%); urinary tract infection was the most residual tumour mass (RRTM) for histological examination after chemotherapy in patients with dissemicommon, occurring in nine patients (8%). One patient died during the induction of anaesthesia. There were nated non-seminomatous testicular germ cell tumours (NSTGCTs), with particular attention to surgical no significant relationships between the occurrence of complications and age, size of the residual tumour, morbidity.Patients and methods From 1979 to 1995, 112 patients operative duration, previous laparotomy or pathological findings. (mean age 28 years, range 16-53) with NSTGCT had residual disease after chemotherapy for which surgical Conclusion The resection of RRTM after polychemotherapy treatment for disseminated NSTGCT is a safe evaluation was indicated; the histology of the residual tumour and the surgical complications were assessed. surgical procedure, with low treatment morbidity consisting mainly of urinary tract infection. Knowledge Possible associations between the occurrence of surgical complications and the age of the patient, size of of the potential complications may help to prevent morbidity. However, the surgical evaluation of the the residual tumour, operative duration, previous laparotomy and pathological findings were evaluated.ultimate effect of polychemotherapy remains the gold standard. Results The median size of the residual tumour was 4 cm (range 0-18); histological examination revealed Keywords Post-operative complications, post-chemotherapy laparotomy, residual tumour mass, nonviable tumour in 9%, mature teratoma in 44% and necrosis/fibrosis in 44% of the patients. In three seminomatous germ cell tumours, testis cancer patients (2.8%) no residual tumour mass was found If malignant tumour tissue remains in the resected
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