Premium
PROGNOSTIC INDICATORS FOR FAILURE OF SURVEILLANCE MANAGEMENT OF STAGE I NON‐SEMINOMATOUS GERM CELL TUMOURS
Author(s) -
Costello AnthonyJ.,
Mortensen PeterH.,
Stillwell RossG.
Publication year - 1989
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1989.tb01480.x
Subject(s) - medicine , stage (stratigraphy) , germ cell , choriocarcinoma , disease , oncology , germ cell tumors , vascular invasion , pathology , radiology , chemotherapy , cancer , paleontology , biochemistry , chemistry , biology , gene
Fifty‐three patients presenting with non‐seminomatous germ cell tumours (nsgct) of the testis were examined. Particular interest was directed towards the association of several morphological features of the primary tumour with metastatic disease, either at presentation or later in the course of the tumour. It is apparent from this study that the presence of vascular invasion in the primary tumour, high t stage (advanced local disease) and the presence of choriocarcinoma are poor prognostic signs in nsgct. In such tumours presenting as clinical stage i, surveillance management may not be appropriate because of the high rate of relapse.