title: [Conservative treatment of germ cell tumor of the testis].
abstract: Testis germ cell tumor is the most frequent cancer in men between 15 and 35 years old. The therapeutic results of radical orchiectomy and chemotherapy reaches 90% free disease survival al the present time. This great chemosensibility is opening new doors to alternative therapeutic options, directed to preserve the sufficient amount of tissue to avoid the problems derived from testicular insufficiency. Such alternatives are clearly beneficial in bilateral germinal tumors or in solitary testis. In this article we describe a case of seminoma developed in a solitary functional testis managed in a conservative approach: organ preserving surgery and surveillance. We analyzed the indications and international results of such approach based on the best evidences now available.
authors.affiliation: Servicio de Urología, Hospital Universitario J.M. Morales Meseguer, Murcia.
authors.forename: T
authors.initials: T
authors.lastname: Fernández Aparicio
authors.forename: B
authors.initials: B
authors.lastname: Miñana López
authors.forename: A
authors.initials: A
authors.lastname: Chaves
authors.forename: P
authors.initials: P
authors.lastname: Guzmán Martínez-Valls
authors.forename: G
authors.initials: G
authors.lastname: Hita Villaplana
authors.forename: F J
authors.initials: FJ
authors.lastname: Cuesta Climent
authors.forename: J
authors.initials: J
authors.lastname: Lorca García
mesh_terms: D000328:Adult; D018237:Germinoma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Tratamiento conservador del tumor testicular de células germinales.