title: Interdisciplinary evidence-based recommendations for the follow-up of testicular germ cell cancer patients.
abstract: Over the last years, clear treatment recommendations for patients with testicular cancer have been published. This has led to significant improvements in outcome and survival. Moreover, active surveillance has become a cornerstone in the management of clinical stage I seminomatous and non-seminomatous germ cell tumors. On the other hand, the existing recommendations for the follow-up of testis cancer patients are unclear and differ widely. Follow-up recommendations in this young patient population have to be as evidence based as possible, feasible in order to ensure adherence, and must not be harmful. Therefore, attention has to be paid to the negative impact of unnecessary radiation exposure. Recently, new evidence became available regarding the relapse pattern of different disease stages of testicular cancer, the use of imaging at follow-up, and the risks of excessive radiation due to imaging, and in particular that of computed tomography (CT) scans. This article summarizes the recommendations for follow-up of testicular cancer patients of an interdisciplinary multinational working group consisting of urologists, medical oncologists, and radiation oncologists.
authors.affiliation: Medical Oncology, Kantonsspital Graubünden, Chur, Switzerland. richard.cathomas@ksgr.ch
authors.forename: Richard
authors.initials: R
authors.lastname: Cathomas
authors.forename: Michael
authors.initials: M
authors.lastname: Hartmann
authors.forename: Susanne
authors.initials: S
authors.lastname: Krege
authors.forename: Rainer
authors.initials: R
authors.lastname: Souchon
authors.forename: Anja
authors.initials: A
authors.lastname: Lorch
authors.forename: Frank
authors.initials: F
authors.lastname: Mayer
authors.forename: Maria
authors.initials: M
authors.lastname: De Santis
authors.forename: Silke
authors.initials: S
authors.lastname: Gillessen
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans; D038622:Internationality; D008297:Male; D008495:Medical Oncology / Q000592:standards*; D009373:Neoplasms, Germ Cell and Embryonal / Q000175:diagnosis* / Q000628:therapy*; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000628:therapy*