Germ Cell Tumours: Difference between revisions
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* ≈15-20% of patients with seminoma have CS II disease at diagnosis; 70% of these patients have CS IIA and IIB. | * ≈15-20% of patients with seminoma have CS II disease at diagnosis; 70% of these patients have CS IIA and IIB. | ||
* '''CSIIA:''' | * '''<span style="color:#ff0000">CSIIA:</span>''' | ||
** '''CUA: Dog-leg radiotherapy (25-35 Gy) preferred over first-line chemotherapy (BEP×3 or EP×4)''' | ** '''CUA: Dog-leg radiotherapy (25-35 Gy) preferred over first-line chemotherapy (BEP×3 or EP×4)''' | ||
** '''AUA: radiotherapy or chemotherapy''' | ** '''AUA: radiotherapy or chemotherapy''' | ||
* '''CSIIB:''' | * '''<span style="color:#ff0000">CSIIB:</span>''' | ||
** '''CUA: depending on bulk of disease and location of lymph nodes, radiation or chemotherapy [good risk chemotherapy BEP×3 or EP×4] can be used.''' | ** '''CUA: depending on bulk of disease and location of lymph nodes, radiation or chemotherapy [good risk chemotherapy BEP×3 or EP×4] can be used.''' | ||
*** '''First-line chemotherapy is recommended for bulky (>3 cm) and/or multifocal retroperitoneal metastases''' | *** '''First-line chemotherapy is recommended for bulky (>3 cm) and/or multifocal retroperitoneal metastases''' | ||