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Conventional-Dose versus High-Dose Chemotherapy for Relapsed Germ Cell Tumors
Joint Authors
McHugh, Deaglan J.
Feldman, Darren R.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-15
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The majority of metastatic germ cell tumors (GCTs) are cured with cisplatin-based chemotherapy, but 20–30% of patients will relapse after first-line chemotherapy and require additional salvage strategies.
The two major salvage approaches in this scenario are high-dose chemotherapy (HDCT) with autologous stem cell transplant (ASCT) or conventional-dose chemotherapy (CDCT).
Both CDCT and HDCT have curative potential in the management of relapsed/refractory GCT.
However, due to a lack of conclusive randomized trials, it remains unknown whether sequential HDCT or CDCT represents the optimal initial salvage approach, with practice varying between tertiary institutions.
This represents the most pressing question remaining for defining GCT treatment standards and optimizing outcomes.
The authors review prognostic factors in the initial salvage setting as well as the major studies assessing the efficacy of CDCT, HDCT, or both, describing the strengths and weaknesses that formed the rationale behind the ongoing international phase III “TIGER” trial.
American Psychological Association (APA)
McHugh, Deaglan J.& Feldman, Darren R.. 2018. Conventional-Dose versus High-Dose Chemotherapy for Relapsed Germ Cell Tumors. Advances in Urology،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1123025
Modern Language Association (MLA)
McHugh, Deaglan J.& Feldman, Darren R.. Conventional-Dose versus High-Dose Chemotherapy for Relapsed Germ Cell Tumors. Advances in Urology No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1123025
American Medical Association (AMA)
McHugh, Deaglan J.& Feldman, Darren R.. Conventional-Dose versus High-Dose Chemotherapy for Relapsed Germ Cell Tumors. Advances in Urology. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1123025
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1123025