title: [High-dose chemotherapy with transplantation of autologous stem cells in advanced germ-cell poor-risk testicular tumors].
abstract: Testicular tumors illustrate curable cancer, but 25% patients are resistant to standard therapy. High-dose chemotherapy (HDC) is promising therapy for germ-cell tumors with poor prognosis. HDC and transplantation of autologous stem cells were performed in 13 patients with germ-cell testicular tumors (GTT). In 6 patients of group 1 HDC was first-line treatment in poor prognosis, in 7 patients (group 2) it was a salvage treatment after recurrences. Patients of group 1 had longer mean survival than those of group 2 (31.3 and 11 months, respectively; p = 0.136). Two patients died of HDC complications. Neurological, hematological and other complications occurred. In spite of 50-90% remission after HDC, multicenter prospective randomized trials will give final conclusion on effectiveness of HDC which must be performed in special clinics having many specialists in their staff (urologists, oncologists, chemotherapists, etc.).
authors.forename: M
authors.initials: M
authors.lastname: May
authors.forename: G
authors.initials: G
authors.lastname: Georgieva
authors.forename: S
authors.initials: S
authors.lastname: Gunia
authors.forename: N
authors.initials: N
authors.lastname: Peter
authors.forename: H B
authors.initials: HB
authors.lastname: Steinhauer
authors.forename: B
authors.initials: B
authors.lastname: Hoschke
mesh_terms: D000970:Antineoplastic Agents / Q000008:administration & dosage*; D018450:Disease Progression; D006801:Humans; D008297:Male; D020714:Maximum Tolerated Dose; D009373:Neoplasms, Germ Cell and Embryonal / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D016879:Salvage Therapy; D033581:Stem Cell Transplantation; D013736:Testicular Neoplasms / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents