[Treatment of stage I germ cell tumors of the testis].
OBJECTIVE
To review the advantages, disadvantages and efficacy of the different therapeutic options for stage I seminoma and nonseminomatous germ cell testicular tumors.


METHODS
The literature on the treatment of stage I germ cell testicular tumors was reviewed.


CONCLUSIONS
Germ cell tumors of the testis constitute 1-1.5% of neoplasms in the male, accounting for 95% of testicular neoplasms, and is the most common solid tumor in men aged 20-35 years. Currently, 70% of the patients with seminoma and 50% of the patients with nonseminomatous germ cell testicular tumors are diagnosed in stage I. Radiotherapy following orchidectomy has classically been utilized in the treatment of stage I germ cell testicular tumors. Postoperative radiation therapy is currently being replaced by close patient follow-up in many centers. Retroperitoneal lymphadenectomy post-orchidectomy is the standard treatment for stage I nonseminomatous germ cell testicular tumors. Today, however, the foregoing approach is also being replaced by close postoperative follow-up.
Santomé Couto
L
L
Servicio de Oncología Médica, Hospital General Vall d'Hebron, Barcelona.
Tabernero Caturla
J M
JM
Villavicencio Mavrich
H
H
Valentí Moreno
V
V
D005500:Follow-Up Studies; D018237:Germinoma / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000473:pathology / Q000628:therapy*