[Multimodal treatment of testicular cancer: chemotherapy, surgery or radiotherapy?].

BACKGROUND

Metastatic testicular germ cell tumors patients require histology- and stage-appropriate therapy to achieve optimal therapeutic outcomes.

OBJECTIVES

This work focuses on the interdisciplinary presentation of current recommendations for the treatment of metastatic germ cell tumor patients.

MATERIALS AND METHODS

The interdisciplinary recommendations were formulated based on the German S3 guideline and supplemented by recent literature.

RESULTS

Using a stage-specific and guideline-based treatment approach, interdisciplinary cooperation between urology, oncology, and radiotherapy is mandatory to successfully achieve a high rate of cure and, in the case of complex advanced tumors, also the most effective therapy possible. The question of optimal treatment approaches for seminoma in cSII A/B remains particularly challenging.

CONCLUSION

Since treatment of advanced or multiple relapsed germ cell tumor patients remains complex, patients should be referred for an online second opinion ( https://urologie.ekonsil.org ).