title: [Stage I testis teratoma in adults: treatment options and recurrence factors].
abstract: OBJECTIVE
  To study the clinical outcomes of stage I testis teratoma, including pure teratoma, and to provide information on the treatment options for this disease.
  
  
  METHODS
  We retrospectively analyzed 27 cases of orchiectomy for stage I testis teratoma, excluding epidermoid cyst, and investigated its recurrence associated with treatment methods and clinicopathological factors.
  
  
  RESULTS
  Four of the 27 cases relapsed, all in the orchiectomy group and confined to the retroperitoneal region, 3 with and the other 1 without risk factors, but with no death. No recurrence was found in those treated by orchiectomy followed by chemotherapy with bleomycin, etoposide and platinum (BEP). The total rate of recurrence was 15.8%. No severe side effects were observed in the 9 patients undergoing adjuvant BEP chemotherapy.
  
  
  CONCLUSIONS
  Risk factors may increase the recurrence rate of stage I testis teratoma, while postoperative adjuvant chemotherapy can reduce it, including that of pure teratoma, though surveillance policy remains the most popular option after orchiectomy.
authors.affiliation: Department of Urology/Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin 300211, China.
authors.forename: Shi-miao
authors.initials: SM
authors.lastname: Zhu
authors.forename: Qiong
authors.initials: Q
authors.lastname: Pei
authors.forename: Yang
authors.initials: Y
authors.lastname: Tang
authors.forename: Lin-guo
authors.initials: LG
authors.lastname: Xie
authors.forename: Xiao-fei
authors.initials: XF
authors.lastname: Dai
authors.forename: Guang
authors.initials: G
authors.lastname: Sun
authors.forename: Rui-fa
authors.initials: RF
authors.lastname: Han
authors.forename: Jian-min
authors.initials: JM
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013724:Teratoma / Q000473:pathology* / Q000628:therapy; D013736:Testicular Neoplasms / Q000473:pathology* / Q000628:therapy; D055815:Young Adult