局部及区域性睾丸癌的临床困境
Clinical dilemmas in local and regional testis cancer.
作者信息
Nason Gregory J, Rendon Ricardo A, Wood Lori, Huddart Robert A, Albers Peter, Einhorn Lawrence H, Nichols Craig R, Kollmannsberger Christian, Anson-Cartwright Lynn, Warde Padraig, Jewett Michael A S, Chung Peter, Bedard Philippe L, Hansen Aaron R, Hamilton Robert J
机构信息
Division of Urology, Department of Surgery, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Department of Urology, Dalhousie University, Halifax, NS, Canada.
出版信息
Can Urol Assoc J. 2021 Jan;15(1):E58-E64. doi: 10.5489/cuaj.6913.
At the Canadian Testis Cancer Workshop, the multidisciplinary management of testis cancer care was discussed. The two-day workshop involved urologists, medical and radiation oncologists, pathologists, radiologists, physician's assistants, residents, fellows, nurses, patients, and patient advocacy group members.This review summarizes the discussion regarding clinical dilemmas in local and regional testis cancer. We present cases that highlight the need for a coordinated approach to individualize care. Overarching themes include the importance of a multidisciplinary approach to testis cancer, willingness to involve a high-volume experienced center, and given that the oncological outcomes are excellent, a reminder that clinical decisions need to prioritize selecting a strategy with the least treatment-related morbidity when safe.
在加拿大睾丸癌研讨会上，讨论了睾丸癌治疗的多学科管理。为期两天的研讨会有泌尿科医生、医学肿瘤学家、放射肿瘤学家、病理学家、放射科医生、医师助理、住院医师、研究员、护士、患者以及患者权益倡导组织成员参与。本综述总结了关于局部和区域睾丸癌临床困境的讨论。我们列举了一些病例，突出了采取协调一致的方法实现个体化治疗的必要性。总体主题包括多学科方法对睾丸癌治疗的重要性、参与经验丰富的高容量中心的意愿，以及鉴于肿瘤学治疗效果极佳，提醒临床决策在安全的情况下需要优先选择与治疗相关发病率最低的策略。
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