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Title:
Good-risk-advanced germ cell tumors: historical perspective and current standards of care | World Journal of Urology
Description:
Outcomes for patients with metastatic germ cell tumors have improved dramatically over the last 30 years with today’s cure rates approaching 80%. A critical contribution to the treatment of metastatic disease was the development of the universally accepted international germ cell cancer collaborative group (IGCCCG) outcome prediction model. With this system, patients are classified into good, intermediate, and poor-risk groups, each with a significantly different likelihood of cure. Not only are outcomes more favorable in the good-risk group, the intensity of treatment required to achieve these outcomes is also less. Therefore, the physician’s goal in treating good-risk patients is to minimize the short- and long-term therapy-related toxicities, while maintaining the excellent cure rates. Through well-conducted clinical trials, four cycles of etoposide + cisplatin (EP×4) and three cycles of bleomycin + etoposide + cisplatin (BEP×3) have emerged as the two optimal treatment regimens for good-risk patients. Cure rates with either regimen with or without surgery approximate to 90%. Attempts to further diminish the toxicity of either regimen have been unsuccessful due to the resulting reductions in efficacy. The authors discuss the trials which led to the establishment of EP×4 and BEP×3 as today’s treatment standards as well as the development of the IGCCCG prognostic model.
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google, scholar, pubmed, cancer, article, germ, cell, cas, oncol, testicular, clin, patients, tumors, bleomycin, chemotherapy, trial, research, etoposide, metastatic, treatment, cisplatin, group, nonseminomatous, prognostic, bosl, randomized, motzer, goodrisk, tumours, disseminated, access, study, germcell, privacy, cookies, content, journal, feldman, disease, longterm, versus, tumor, bajorin, einhorn, medical, van, goodprognosis, wit, analysis, european,
Topics {✒️}
etoposide + cisplatin versus vinblastine + bleomycin + cisplatin + cyclophosphamide + dactinomycin good-prognosis germ-cell tumours long-term therapy-related toxicities disseminated germ-cell tumors germ-cell tumours germ cell tumours month download article/chapter good-risk group germ cell tumors germ-cell tumors good-prognosis testicular nonseminoma treating good-risk patients poor-risk groups medical research council life-threatening acute complications �good-risk’ metastatic bleomycin combination chemotherapy genito-urinary group article world journal full article pdf combination chemotherapy good-risk patients metastatic testicular cancer long-term risk loehrer pj advanced metastatic seminoma disseminated testicular cancer maintenance therapy van veldhuisen dj metastatic disease standard chemotherapy regimens privacy choices/manage cookies related subjects post-chemotherapy resection testicular tumours care review published cisplatin versus etoposide sidney kimmel center long-term complication therapy effective chemotherapy regimen optimal chemotherapy regimen long-term survivors de mulder ph adult male patients european economic area check access huddart ra getug t93 bp higher acute morbidity
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- Mosharafa AA, Foster RS, Leibovich BC, Bihrle R, Johnson C, Donohue JP (2003) Is post-chemotherapy resection of seminomatous elements associated with higher acute morbidity?
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headline:Good-risk-advanced germ cell tumors: historical perspective and current standards of care
description:Outcomes for patients with metastatic germ cell tumors have improved dramatically over the last 30 years with today’s cure rates approaching 80%. A critical contribution to the treatment of metastatic disease was the development of the universally accepted international germ cell cancer collaborative group (IGCCCG) outcome prediction model. With this system, patients are classified into good, intermediate, and poor-risk groups, each with a significantly different likelihood of cure. Not only are outcomes more favorable in the good-risk group, the intensity of treatment required to achieve these outcomes is also less. Therefore, the physician’s goal in treating good-risk patients is to minimize the short- and long-term therapy-related toxicities, while maintaining the excellent cure rates. Through well-conducted clinical trials, four cycles of etoposide + cisplatin (EP×4) and three cycles of bleomycin + etoposide + cisplatin (BEP×3) have emerged as the two optimal treatment regimens for good-risk patients. Cure rates with either regimen with or without surgery approximate to 90%. Attempts to further diminish the toxicity of either regimen have been unsuccessful due to the resulting reductions in efficacy. The authors discuss the trials which led to the establishment of EP×4 and BEP×3 as today’s treatment standards as well as the development of the IGCCCG prognostic model.
datePublished:2009-06-10T00:00:00Z
dateModified:2009-06-10T00:00:00Z
pageStart:463
pageEnd:470
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Germ cell tumors
Prognostic models
Review
Chemotherapy
Good-risk disease
Urology
Nephrology
Oncology
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headline:Good-risk-advanced germ cell tumors: historical perspective and current standards of care
description:Outcomes for patients with metastatic germ cell tumors have improved dramatically over the last 30 years with today’s cure rates approaching 80%. A critical contribution to the treatment of metastatic disease was the development of the universally accepted international germ cell cancer collaborative group (IGCCCG) outcome prediction model. With this system, patients are classified into good, intermediate, and poor-risk groups, each with a significantly different likelihood of cure. Not only are outcomes more favorable in the good-risk group, the intensity of treatment required to achieve these outcomes is also less. Therefore, the physician’s goal in treating good-risk patients is to minimize the short- and long-term therapy-related toxicities, while maintaining the excellent cure rates. Through well-conducted clinical trials, four cycles of etoposide + cisplatin (EP×4) and three cycles of bleomycin + etoposide + cisplatin (BEP×3) have emerged as the two optimal treatment regimens for good-risk patients. Cure rates with either regimen with or without surgery approximate to 90%. Attempts to further diminish the toxicity of either regimen have been unsuccessful due to the resulting reductions in efficacy. The authors discuss the trials which led to the establishment of EP×4 and BEP×3 as today’s treatment standards as well as the development of the IGCCCG prognostic model.
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dateModified:2009-06-10T00:00:00Z
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Germ cell tumors
Prognostic models
Review
Chemotherapy
Good-risk disease
Urology
Nephrology
Oncology
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