title: [Treatment of stage I germ cell tumors of the testis].
abstract: 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.
authors.affiliation: Servicio de Oncología Médica, Hospital General Vall d'Hebron, Barcelona.
authors.forename: L
authors.initials: L
authors.lastname: Santomé Couto
authors.forename: J M
authors.initials: JM
authors.lastname: Tabernero Caturla
authors.forename: H
authors.initials: H
authors.lastname: Villavicencio Mavrich
authors.forename: V
authors.initials: V
authors.lastname: Valentí Moreno
mesh_terms: 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*