Open Access28-year late spermatic cord relapse of a testicular non-seminomatous germ cell tumour, managed robotically
Author(s) -
J. Hayes,
Michael A.S. Jewett,
Robert J. Hamilton
Publication year - 2016
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.3492
Subject(s) - medicine , spermatic cord , pelvis , germ cell , surgery , incidence (geometry) , chemotherapy , testicular germ cell tumor , testicular cancer , biochemistry , physics , optics , gene , chemistry
We present a patient who relapsed symptomatically 28 years postorchiectomy, initially followed by active surveillance for clinical stage I non-seminomatous germ cell tumour (CSI NSGCT). His relapse was localized to the pelvis, managed with robotic surgery, and achieved a complete resection with tumour markers normalized. We highlight the current Princess Margaret guidelines for followup of CSI NSGCT and discuss the trade-off between lifelong radiographic surveillance to detect the very small risk of late relapse. We discuss the incidence and presentation of late relapse, treatment options, and outcomes, highlighting that these tumours are typically refractory to chemotherapy and can often be managed with surgery alone.