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Adjuvant Radiotherapy for Synchronous Bilateral Testicular Seminoma : A Case Report and a Review of the Pertinent Literature
Joint Authors
Leavitt, David
Jha, Gautam
Konety, Badrinath
Jones, Daniel A.
Sweet, Robert
Ester, Elizabeth C.
Cho, L. Chinsoo
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Few cases of synchronous bilateral stage I seminomas have been reported in the world literature.
We present a case of bilateral synchronous testicular seminoma, the current literature on the management of stage I seminoma, and the implications for radiotherapy.
A forty-year-old man presented with synchronous bilateral classical seminomas, both stage IA.
After undergoing bilateral inguinal orchiectomy, he received adjuvant external beam radiotherapy, with a standard paraaortic field.
After 18 months of followup, he remains well, without evidence of recurrence.
Bilateral germ cell tumors (BGCTs) are reported consistently at a low rate.
Bilateral radical inguinal orchiectomy is standard of care, yet some groups have proposed an organ preservation approach.
Of the reported cases of bilateral stage I synchronous GCT, with concordant seminoma histology, most of them were treated with bilateral orchiectomy and adjuvant radiotherapy.
Although morbidity associated with radiotherapy directed at the abdomen is not negligible, adjuvant paraaortic radiotherapy remains safe and well-tolerated treatment regime.
Bilateral synchronous stage I seminoma of the testes is rare.
Organ preservation remains investigational.
Chemotherapy is probably a reasonable option.
We propose that patients with bilateral stage I synchronous GCT, with concordant seminoma histology, should be managed with bilateral orchiectomy, followed by paraaortic radiotherapy.
American Psychological Association (APA)
Jones, Daniel A.& Ester, Elizabeth C.& Leavitt, David& Sweet, Robert& Konety, Badrinath& Jha, Gautam…[et al.]. 2013. Adjuvant Radiotherapy for Synchronous Bilateral Testicular Seminoma : A Case Report and a Review of the Pertinent Literature. Case Reports in Urology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-456603
Modern Language Association (MLA)
Jones, Daniel A.…[et al.]. Adjuvant Radiotherapy for Synchronous Bilateral Testicular Seminoma : A Case Report and a Review of the Pertinent Literature. Case Reports in Urology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-456603
American Medical Association (AMA)
Jones, Daniel A.& Ester, Elizabeth C.& Leavitt, David& Sweet, Robert& Konety, Badrinath& Jha, Gautam…[et al.]. Adjuvant Radiotherapy for Synchronous Bilateral Testicular Seminoma : A Case Report and a Review of the Pertinent Literature. Case Reports in Urology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-456603
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-456603