title: Interdisciplinary evidence-based recommendations for the follow-up of testicular cancer patients: a joint effort.
abstract: Detailed recommendations for the treatment of testicular cancer exist and due to the stringent application of the standard therapies, most patients can nowadays be cured. Moreover in the treatment of early stage disease, active surveillance is now a cornerstone of treatment. Hence there is a clear need for recommendations regarding the long term follow-up of these young patients. These have to be safe, feasible and the intensity of procedures have to reflect the known risk of recurrence. Different proposals have been published but they differ widely especially in terms of frequency and modality of imaging. In the last few years, new evidence has become available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging in follow-up and the risks of excessive radiation due to imaging, in particular with CT scans. In this article, an interdisciplinary, multinational working group has reviewed the evidence and based on this has formulated practical recommendations for the follow-up of patients with testicular cancer.
authors.affiliation: Medical Oncology, Kantonsspital Graubünden, Chur, Switzerland. richard.cathomas@ksgr.ch
authors.forename: Richard
authors.initials: R
authors.lastname: Cathomas
authors.forename: Daniel
authors.initials: D
authors.lastname: Helbling
authors.forename: Frank
authors.initials: F
authors.lastname: Stenner
authors.forename: Christian
authors.initials: C
authors.lastname: Rothermundt
authors.forename: Cyrill
authors.initials: C
authors.lastname: Rentsch
authors.forename: Osama
authors.initials: O
authors.lastname: Shahin
authors.forename: Hans-Helge
authors.initials: HH
authors.lastname: Seifert
authors.forename: Kathrin
authors.initials: K
authors.lastname: Zaugg
authors.forename: Anja
authors.initials: A
authors.lastname: Lorch
authors.forename: Frank
authors.initials: F
authors.lastname: Mayer
authors.forename: Jörg
authors.initials: J
authors.lastname: Beyer
authors.forename: Maria
authors.initials: M
authors.lastname: De Santis
authors.forename: Silke
authors.initials: S
authors.lastname: Gillessen
mesh_terms: D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis / Q000000981:diagnostic imaging*; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging*; D009367:Neoplasm Staging; D009373:Neoplasms, Germ Cell and Embryonal / Q000000981:diagnostic imaging* / Q000473:pathology; D013902:Radiography, Thoracic; D012307:Risk Factors; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D013737:Testis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000592:standards*; D014463:Ultrasonography