Does delayed diagnosis or scrotal incision affect outcome for men with non‐seminomatous germ cell tumours?

Harding, M.; Paul, James; Kaye, Stanley B.

doi:10.1111/j.1464-410x.1995.tb07754.x

Cited by 21 publications

(4 citation statements)

References 15 publications

(20 reference statements)

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“…The impact of surgical wait time on the outcome of testis tumors remains controversial. (22)(23)(24) There are few studies evaluating components of wait times (e.g. delay in diagnosis, delay in orchiectomy) in TC patients; however, differences in study data availability, method of analysis and wait time definitions precluded statistical pooling of the findings (23).…”

Section: Discussionmentioning

confidence: 99%

Priorities in testis cancer care during Covid-19 Pandemic

Secín

2020

Int. braz j urol.

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Introduction: There is little information on how to prioritize testis cancer (TC) patients' care during COVID-19 pandemic in order to relieve its pressure on the health care systems. Objective: To describe the recommendations for diagnosis, treatment and follow-up of patients with TC amidst COVID-19 pandemic. Material and Methods: Pubmed search and review of the main urological association guidelines on TC. Results: The biology of TC requires immediate care of patients during diagnosis, initial surgical therapy and management of recurrent disease. Active surveillance is the first choice of management and should be offered to all compliant clinical stage I TC patients provided they understand the need to self-isolate. Active surveillance may also help decrease the demand for intensive care unit beds, ventilators, personal protective equipment, and other critical hospital and human resources by minimizing surgeries without compromising patient outcomes. Complications of therapy and symptomatic patients represent medical emergencies and should be treated immediately. Telemedicine may be useful during follow-up periods. Conclusions: Most stages of testis cancer require urgent care; however, all recommendations must be adapted to local health care priorities considering that most of these patients are at low risk of severe COVID-19 infection.

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Section: Discussionmentioning

confidence: 99%

Priorities in testis cancer care during Covid-19 Pandemic

Secín

2020

Int. braz j urol.

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“…[10] For this reason, in neurofibroma, the treatment is surgical excision of tumor. Harding et al, [11] reported that 10.4% of men with testicular and paratesticular tumors underwent a scrotal orchidectomy or had a scrotal incision before an inguinal orchidectomy. In their study, the authors suggested that scrotal incision is unlikely to affect the risk of loco-regional recurrence.…”

Section: Case Reportmentioning

confidence: 99%

Neurofibroma of the scrotum: An unbelievable experience

Singal

Sekhon³

2012

Ann Trop Med Public Health

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Extratesticular localization of neurofibroma have been reported extremely rarely in the literature. We are reporting such rare case with a different presentation. A 60-year-old male patient reported twith a swelling in the scrotum, diagnosed as hydrocele and was operated. Later on, patient has developed scrotal thickness and ulcer. Edge biopsy was taken and to our surprise, on histopathology, it came as neurofibroma of the scrotal skin.

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“…Recent studies have shown that reductions in patient delay can make a significant contribution to improving cancer-related mortality (Hallisey et al, 1990;Allum et al, 1989;Harding et al, 1993;Harding et al, 1995;Southampton Melanoma Group 1986) particularly in cases of bladder cancer, testicular cancer and melanoma (Austoker, 1994). As a result, many cancer related health promotion strategies are targeted at encouraging patients to seek help at an early stage of disease.…”

Section: Introductionmentioning

confidence: 99%

Quality of diagnostic services for cancer: a comparison of open access and conventional outpatient clinics

Davies

Grimshaw

Kendall

et al. 1999

International Journal of Health Care Quality Assurance

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Objective and study design: to assess quality of a quick and early diagnosis route (QED) by determining effectiveness and cost‐ effectiveness of five clinics compared with three conventional outpatient clinics. Prospective economic evaluation. Six‐month cohort of all referrals (November 1996‐April 1997). Subjects: all referrals for suspected cancers of: upper gastro‐intestinal tract; urinary tract, prostate and testis; skin. Effectiveness: median days saved between GP referral and date of: diagnostic appointment; consultant decision; intervention. Results: GP referral to diagnostic appointment: QED was effective (median days) for all clinics. Diagnostic appointment to consultant decision: QED was effective for testicular and haematuria clinics. Consultant decision to intervention: QED was effective for haematuria, testicular and melanoma clinics. Cost‐effectiveness: extra (incremental) NHS cost per patient diagnosed. Results: Less than £5 per day saved between GP referral and diagnostic appointment for: endoscopy; haematuria; prostate; testicular; melanoma. Less than £3 per day saved between GP referral and consultant decision for: testicular; haematuria. Less than £3 per day saved between GP referral and intervention for: endoscopy; haematuria; testicular; melanoma. Conclusion: A “quick and early” diagnostic route provides a higher quality service through improved effectiveness and cost‐effectiveness compared to conventional outpatients.

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Does delayed diagnosis or scrotal incision affect outcome for men with non‐seminomatous germ cell tumours?

Abstract: These results suggest that scrotal incision is unlikely to affect the risk of loco-regional recurrence and that effective cytotoxic therapy has probably reduced the prognostic importance of delayed diagnosis on survival of men with NSGCT.

Cited by 21 publications

References 15 publications

Priorities in testis cancer care during Covid-19 Pandemic

Priorities in testis cancer care during Covid-19 Pandemic

Neurofibroma of the scrotum: An unbelievable experience

Quality of diagnostic services for cancer: a comparison of open access and conventional outpatient clinics

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