Germ Cell Tumours: Difference between revisions
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==== Testis-sparing surgery (TSS)§ ==== | ==== Testis-sparing surgery (TSS)§ ==== | ||
* '''Not recommended in patients with a testicular lesion suspicious for malignant neoplasm and a normal contralateral testis; radical inguinal orchiectomy is recommended''' | * '''<span style="color:#ff0000">Not recommended in patients with a testicular lesion suspicious for malignant neoplasm and a normal contralateral testis; radical inguinal orchiectomy is recommended</span>''' | ||
* '''Indications (3)''' | * '''<span style="color:#ff0000">Indications (3)</span>''' | ||
*# '''Patients wishing to preserve gonadal function''' | *# '''<span style="color:#ff0000">Patients wishing to preserve gonadal function</span>''' | ||
*# '''Mass <2cm''' | *# '''<span style="color:#ff0000">Mass <2cm</span>''' | ||
*# '''And one of the following:''' | *# '''<span style="color:#ff0000">And one of the following:</span>''' | ||
*## '''Equivocal ultrasound/physical exam findings and negative tumor markers (hCG and AFP)''' | *## '''<span style="color:#ff0000">Equivocal ultrasound/physical exam findings and negative tumor markers (hCG and AFP)</span>''' | ||
*## '''Congenital, acquired or functionally solitary testis''' | *## '''<span style="color:#ff0000">Congenital, acquired or functionally solitary testis</span>''' | ||
*## '''Bilateral synchronous tumors''' | *## '''<span style="color:#ff0000">Bilateral synchronous tumors</span>''' | ||
* '''Patients considering TSS should be counseled regarding (5):''' | * '''Patients considering TSS should be counseled regarding (5):''' | ||
*# '''Higher risk of local recurrence''' | *# '''Higher risk of local recurrence''' | ||