Cross-Sectional Imaging Techniques: The Use of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) in the Management of Germ Cell Tumors

Santis, Maria De; Strau, G.; Bachner, M.

doi:10.1007/978-1-84628-759-6_27

Cited by 3 publications

(4 citation statements)

References 128 publications

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“…[22]showedthataCTofthepelvisisgenerally notnecessarybecauserecurrenceoutsidetheabdomenisvery rare. There are, however, risk factors for developing recurrence in the pelvis, and a CT scan of the pelvis should be includedforthefollowingpatients:bulkyabdominaldisease (>5cm),previoushistoryofmaldescenttestisororchidopexy, historyofpreviousscrotalsurgery,andinvasionofthecarcinomaintothetunicavaginalisofthetestis [22,24](level III, B). Moreover, in case of seminoma stage I and adjuvant paraaortic radiotherapy (no dog-leg), a CT of the pelvis should also be included.…”

Section: Evidence For the Choice Of Imaging Modalitymentioning

confidence: 99%

Interdisciplinary Evidence-Based Recommendations for the Follow-Up of Testicular Germ Cell Cancer Patients

Cathomas

Hartmann²,

Krege³

et al. 2011

Oncol Res Treat

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Over the last years, clear treatment recommendations for patients with testicular cancer have been published. This has led to significant improvements in outcome and survival. Moreover, active surveillance has become a cornerstone in the management of clinical stage I seminomatous and non-seminomatous germ cell tumors. On the other hand, the existing recommendations for the follow-up of testis cancer patients are unclear and differ widely. Follow-up recommendations in this young patient population have to be as evidence based as possible, feasible in order to ensure adherence, and must not be harmful. Therefore, attention has to be paid to the negative impact of unnecessary radiation exposure. Recently, new evidence became available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging at follow-up, and the risks of excessive radiation due to imaging, and in particular that of computed tomography (CT) scans. This article summarizes the recommendations for follow-up of testicular cancer patients of an interdisciplinary multinational working group consisting of urologists, medical oncologists, and radiation oncologists.

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Section: Evidence For the Choice Of Imaging Modalitymentioning

confidence: 99%

Interdisciplinary Evidence-Based Recommendations for the Follow-Up of Testicular Germ Cell Cancer Patients

Cathomas

Hartmann²,

Krege³

et al. 2011

Oncol Res Treat

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“…There are only few publications focusing on the modalities of imaging in the follow-up of testicular cancers [9,11,15,21,41]. Two retrospective studies [21,41] are noteworthy.…”

Section: Choice Of Imaging Modality Evidencementioning

confidence: 99%

“…Another issue for follow-up addresses the clinically appropriate imaging procedure, in particular, whether magnetic resonance imaging (MRI) should replace CT in order to reduce radiation exposure [15]. To date, however, MRI and experience with its interpretation might be limited.…”

Section: Choice Of Imaging Modality Evidencementioning

confidence: 99%

Interdisciplinary Evidence-Based Recommendations for the Follow-Up of Early Stage Seminomatous Testicular Germ Cell Cancer Patients

Souchon¹,

Hartmann

Krege

et al. 2011

Strahlenther Onkol

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Considering lifelong cure rates of up to 99% for patients treated for seminoma CS I-IIA/B, the negative impact of unnecessary ionizing radiation exposure has to be considered. The presented recommendations for various follow-up scenarios for early stage seminoma strongly promote the restrictive use of imaging procedures that utilize ionizing radiation (especially CT), due to its potential to induce secondary malignancies.

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“…Zwei Artikel sind erwähnenswert [23,25]: Eine retrospektive Studie zeigte, dass eine CT des Beckens grundsätzlich nicht notwendig ist [23]. Einzig bei Vorliegen der folgenden Faktoren besteht ein erhöh-tes Risiko für das Auftreten von Rezidiven im kleinen Becken: große retroperitoneale Lymphknotenmetastasen (>5 cm), nach therapiertem Kryptorchismus, nach vorangegangener Operation im Skrotalbereich sowie bei Invasion des Karzinoms durch die Tunica vaginalis testis [23,24]. Zusätzlich muss bei Seminomen im Stadium I, die adjuvant nur paraaortal/-caval bestrahlt wurden, eine CT des Beckens vorgenommen werden.…”

Section: Evidenz Für Die Auswahl Der Bildgebungunclassified

Nachsorge von Patienten mit Hodentumoren

Hartmann

Krege²,

Souchon

et al. 2011

Urologe

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Recently, new evidence has become available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging at follow-up, and the risks of excessive radiation due to imaging, in particular that of CT scans. An interdisciplinary multinational working group consisting of urologists, medical oncologists, and radiation oncologists has reviewed and discussed the current evidence and on this basis formulated new recommendations for patients with germ cell tumors of the testis.

show abstract

Cross-Sectional Imaging Techniques: The Use of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) in the Management of Germ Cell Tumors

Cited by 3 publications

References 128 publications

Interdisciplinary Evidence-Based Recommendations for the Follow-Up of Testicular Germ Cell Cancer Patients

Interdisciplinary Evidence-Based Recommendations for the Follow-Up of Testicular Germ Cell Cancer Patients

Interdisciplinary Evidence-Based Recommendations for the Follow-Up of Early Stage Seminomatous Testicular Germ Cell Cancer Patients

Nachsorge von Patienten mit Hodentumoren

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