The role of radiotherapy after chemotherapy in the management of persistent para-aortic nodal disease in non-seminomatous germ cell tumours.
Read, G Johnson, R J Wilkinson, Peter M
Read, G
Johnson, R J
Wilkinson, Peter M
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Abstract
In the years 1979-1982, 83 patients with malignant teratoma of the testis who had retroperitoneal adenopathy at presentation or after a period of surveillance were treated. Complete radiological resolution of disease was obtained in 34 patients and a residual mass remained in 26, the remainder having progression of the para-aortic or other metastatic disease. There was no para-aortic relapse in 47 patients receiving radiotherapy post-chemotherapy whereas 2/11 who did not receive radiotherapy or an immediate retroperitoneal node dissection relapsed. Morbidity from radiotherapy was minimal apart from subcutaneous fibrosis in the irradiated area of 6 patients. It is concluded that radiotherapy is effective in sterilising minimal residual tumour post-chemotherapy and may be considered as an alternative to surgery.
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Date
1986-05
Publisher
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Keywords
Anticancerous Combined Chemotherapy
Retroperitoneal Cancer
Testicular Cancer
Retroperitoneal Cancer
Testicular Cancer
Type
Article
Citation
The role of radiotherapy after chemotherapy in the management of persistent para-aortic nodal disease in non-seminomatous germ cell tumours. 1986, 53 (5):623-8 Br J Cancer