Is a contralateral testicular biopsy in patients with unilateral germ cell testicular cancer indicated as a routine procedure?

Maase, Hans von der

doi:10.1080/02841860500251562

Cited by 18 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dada su epidemiología, existe bibliografía que recomiendan las biopsias sistemáticas contralaterales durante la orquiectomía de los pacientes diagnosticados de tumores testiculares unilaterales 11 . El debate surge porque se han detectado complicaciones tras biopsias hasta en un 23% de los casos y 7 , actualmente, sólo se recomiendan en pacientes con tumor testicular y variables asociadas de atrofia testicular, criptorquidia y/o menor de 30 años.…”

Section: Discussionunclassified

Cancer testicular bilateral: presentación de cuatro casos

et al. 2007

View full text Add to dashboard Cite

RESUMENCANCER TESTICULAR BILATERAL: PRESENTACIÓN DE CUATRO CASOS El cáncer testicular bilateral suponen el 2-5 % de todos los tumores de testículo, aunque actualmente esa prevalencia va aumentando. La edad media de aparición es de los 15-35 años y el 75 % de ellos se presenta metacrónicamente.Suele haber hallazgos histológicos similares en ambos testículos, siendo el tipo histológico más frecuente el seminoma.El factor de riesgo más importante en el desarrollo del cancer testicular es la presencia de neoplasia intratubular de células germinales.El tratamiento de elección es la orquiectomía radical , aunque en algunos casos seleccionados se puede realizar una cirugía conservadora del testículo Presentamos 4 casos atendidos en nuestro servicio, analizamos los factores de riesgo, manejo de los tumores y realizamos una revisión de la literatura médica.Palabras claves: Cáncer testicular. Bilateral. Neoplasia intratubular de células germinales. ABSTRACT BILATERAL TESTICULAR CANCER: A REPORT OF FOUR CASESBilateral testicular cancer represents from 2 to 5 % of all testicle tumors, even though this prevalence nowadays is increasing. The median age of presentation was from 15 to years and in approximately 75 % of them occurred metachronously.There used to be concordance in histological findings between both testicles, being seminoma the most common histological type.The most important risk factor in the development of testicular cancer is the presence of intratubular germ cell neoplasia.Radical orquiectomy is the treatment to choose, although in some carefully selected patients testis-sparing surgery may be considered.We present four cases attended in our medical service, we analize the risk factors, management of tumors and a medical literature review is done.

show abstract

Section: Discussionunclassified

Cancer testicular bilateral: presentación de cuatro casos

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Estos resultados dan a entender que la presencia de la neoplasia intratubular de células germinales es más frecuente incluso que los tumores bilaterales de células germinales. El riesgo de generar una neoplasia a partir de estas lesiones, se ha estimado en el 50%, sobre todo en los primeros 5 años 2,4,10,11 .…”

Section: Discussionunclassified

Cancer testicular bilateral: presentación de cuatro casos

Gómez

Armada

Planes

et al. 2007

Actas Urológicas Españolas

View full text Add to dashboard Cite

Bilateral testicular cancer represents from 2 to 5% of all testicle tumors, even though this prevalence nowadays is increasing. The median age of presentation was from 15 to years and in approximately 75% of them occurred metachronously. There used to be concordance in histological findings between both testicles, being seminoma the most common histological type. The most important risk factor in the development of testicular cancer is the presence of intratubular germ cell neoplasia. Radical orquiectomy is the treatment to choose, although in some carefully selected patients testis-sparing surgery may be considered. We present four cases attended in our medical service, we analize the risk factors, management of tumors and a medical literature review is done.

show abstract

“…As in the cryptorchidism scenario, patients with a negative biopsy rarely develop a second GCT [51]. Radiation therapy can then be offered to these patients to reduce the risk of a second neoplasm [52,53]. Arguments against the widespread use of contralateral biopsy include the need for close follow-up on patients with negative biopsy (given the rate of approximately 1 % false positive), the need of radiation therapy resulting in irreversible infertility and impairment of endocrine Leydig cell function, a questionable outcome advantage over patients handled with only surveillance, and the availability of local resection as therapy for small tumors [54].…”

Section: Disorders Of Sex Development (Dsd)mentioning

confidence: 97%