title: [Treatment of embryonal carcinoma of the testis (stages I and IIa) without lymph node curettage. Long-term results].
abstract: Of 18 cases of embryonic carcinoma seen over the last 13 years, 10 were classified as inferior to stage III and were treated without glandular curettage: 5 by combined chemotherapy and radiotherapy, 3 by chemotherapy alone and 2 by radiotherapy alone. All patients have survived beyond 2 years (2 to 11 years). The attitude is considered as too restrictive which implies treating only when secondary recurrence occurs, since certain patients are lost to view. Moreover, curettage has a higher morbidity than chemotherapy. Routine chemotherapy without glandular curettage would appear to be indicated for stages a priori I and II.
mesh_terms: D003037:Cobalt Radioisotopes / Q000627:therapeutic use; D003475:Curettage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D013724:Teratoma / Q000188:drug therapy / Q000532:radiotherapy / Q000628:therapy*; D013736:Testicular Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000628:therapy*; D013997:Time Factors
chemical_list: D003037:Cobalt Radioisotopes
vernacular_title: Le traitement du carcinome embryonnaire du testicule (Stades I et IIa) sans curage ganglionnaire. Résultats à long terme.