Orillard Emeline, Klajer Elodie, Kalbacher Elsa, Joly Florence, David Alina, Hervé Laure, Viot Julien, Mouillet Guillaume, Barkatz Johann, Kleinclauss François, Thiery-Vuillemin Antoine
CHU de Besançon, oncologie, 25030 Besançon cedex, France.
CHU de Besançon, oncologie, 25030 Besançon cedex, France.
Bull Cancer. 2019 Oct;106(10):903-914. doi: 10.1016/j.bulcan.2019.06.006. Epub 2019 Sep 5.
Germ-cell tumors are the most common solid tumors in young men. The follow-up of these patients is very important in their management. In stage I testicular cancer, surveillance is the standard for low-risk disease. In addition to the early detection of relapse, follow-up should be directed towards prevention, detection and treatment of late toxicity, and secondary malignancies. Follow up consists in physical examination, laboratory analysis and radiological imaging. Recently, guidelines recommend risk-adapted surveillance strategy, with a reduction of CT scans numbers, due to the recognition of the risk of ionizing radiation exposure. However, efforts to maintain adequate compliance with follow up are required.
生殖细胞肿瘤是年轻男性中最常见的实体瘤。对这些患者的随访在其治疗中非常重要。在Ⅰ期睾丸癌中，监测是低风险疾病的标准治疗方法。除了早期发现复发外，随访还应针对晚期毒性和继发性恶性肿瘤的预防、检测和治疗。随访包括体格检查、实验室分析和影像学检查。最近，由于认识到电离辐射暴露的风险，指南推荐采用风险适应性监测策略，减少CT扫描次数。然而，仍需要努力保持足够的随访依从性。
