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- Title
Orchidectomy alone for stage I seminoma of the testis.
- Authors
Duchesne, G. M.; Horwich, A.; Dearnaley, D. P.; Nicholls, J.; Jay, G.; Peckham, M. J.; Hendry, W. F.
- Abstract
Between 1983 and 1988, 113 patients with Stage I seminoma were managed after orchidectomy by surveillance rather than adjuvant radiotherapy. The actuarial risk of relapse at 3 years was 15.8% (95% confidence interval, 7.8% to 23.8%). All 13 patients who experienced a relapse are currently in remission (4 to 45 months after salvage therapy), although 5 suffered second relapses requiring further treatment. Close surveillance is a safe alternative to adjuvant radiotherapy in Stage I seminoma. However, the policy requires prolonged observation of patients with intensive use of resources. Therefore, adjuvant radiotherapy should be considered the treatment of choice.
- Publication
Cancer (0008543X), 1990, Vol 65, Issue 5, p1115
- ISSN
0008-543X
- Publication type
journal article
- DOI
10.1002/1097-0142(19900301)65:5<1115::AID-CNCR2820650513>3.0.CO;2-6