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[Management of pediatric testicular tumors : diagnosis, therapy, and follow-up].

Abstract
Based on findings from the Prepubertal Testis Tumor Registry by the Urologic Section of the American Academy of Pediatrics and collaborative data in the literature, a modern algorithm for the surgical management of prepubertal testis tumors is presented. Following testicular surgery, patients with universally benign tumors, such as teratoma, may be released from oncological follow-up. Children with stage I yolk sac tumors should be monitored closely with periodic AFP tumor marker evaluation and imaging according to the primary dissemination (e.g., ultrasound, chest x-ray, and computed tomography). Patients with recurrent or metastatic yolk sac tumors should be treated with platinum-based chemotherapy and appropriate follow-up. Retroperitoneal lymph node dissection is not recommended except for patients with residual retroperitoneal masses following chemotherapy. Aggressive treatment is warranted for metastatic Sertoli cell and metastatic undifferentiated stromal tumors.
AuthorsJ Steffens, A Treiyer, G Calaminus
JournalDer Urologe. Ausg. A (Urologe A) Vol. 48 Issue 4 Pg. 359-63 (Apr 2009) ISSN: 1433-0563 [Electronic] Germany
Vernacular TitlePräpubertäre Hodentumoren : Diagnose, Therapie und Nachbeobachtung.
PMID19280171 (Publication Type: English Abstract, Journal Article, Review)
Topics
  • Child
  • Humans
  • Male
  • Medical Oncology (trends)
  • Pediatrics (trends)
  • Testicular Neoplasms (diagnosis, therapy)

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