Germ Cell Tumours: Difference between revisions

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** '''Modality: plain-film chest x-ray vs. CT'''
** '''Modality: plain-film chest x-ray vs. CT'''
*** '''Chest x-ray'''
*** '''Chest x-ray'''
**** '''Indications''' (AUA 2019 Guidelines)
**** '''Indications[https://pubmed.ncbi.nlm.nih.gov/31059667/ ★]'''
***** '''Suspected clinical stage I seminoma'''; preferred over CT
***** '''Suspected clinical stage I seminoma'''; preferred over CT
****** '''When tumor markers are normal, the rate of skip metastasis to the thorax in seminoma is close to 0%,''' and the addition of CT chest to chest x-ray is very unlikely to alter treatment decisions.
****** '''When tumor markers are normal, the rate of skip metastasis to the thorax in seminoma is close to 0%,''' and the addition of CT chest to chest x-ray is very unlikely to alter treatment decisions.
*** '''CT scan'''
*** '''CT scan'''
**** '''Indications (3)''' (AUA 2019 Guidelines)
**** '''Indications (3)[https://pubmed.ncbi.nlm.nih.gov/31059667/ ★]'''
****# '''NSGCT'''
****# '''NSGCT'''
****#* '''Skip metastases are more common in non-seminoma than seminoma.'''
****#* '''Skip metastases are more common in non-seminoma than seminoma.'''