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Traitement du cancer du testicule

Testicular cancer treatment

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Abstract

Significant advances have been achieved in testicular cancer treatment for the last 15 years. Almost 100% of the non seminomatous tumors seen at the precocious stages I and II are cured because of the efficacy of chemotherapy in relapses. For clinical stages I, tendancy is to survey after castration without lymphadenectomy. For advanced metastatic stages, platinum has changed chemotherapy performances, allowing to cure 75 to 80% of these patients. The results of a bad pronosis group with large tumor remain to be improved. Seminomas at a localized stage (the most frequent case) are cured by radiotherapy; at an advanced stage, they are as sensitive to chemotherapy as non seminomatous tumors.

Resume

Des progrès considérables ont été accomplis dans le traitement des cancers du testicule depuis une quinzaine d’années. Pour les tumeurs non séminomateuses de stade précoce (I et II) les taux de guérison avoisinent les 100% du fait de l’efficacité de la chimiothérapie de rattrapage des rechutes. Pour les stades cliniques I, la tendance est à la surveillance après castration sans curage. Pour les stades avancés métastasés, l’apparition du platinum a révolutionné les performances de la chimiothérapie qui permet de guérir 75 à 80% de ces patients. Il reste à améliorer les résultats d’un groupe de mauvais pronostic à forte masse tumorale. Les séminomes à un stade localisé (cas le plus fréquent) sont guéris par la radiothérapie; à un stade avancé, ils se montrent aussi sensibles à la chimiothérapie que les tumeurs non séminomateuses.

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Author information

Correspondence to Marcel Krulik.

Additional information

Rapport présenté au 8ème congrès de la SALF, Sousse Sept. 1990

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Cite this article

Krulik, M. Traitement du cancer du testicule. Androl. 1, 32–33 (1991) doi:10.1007/BF03035087

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Key-words

  • seminoma
  • non seminomatous tumor
  • chemotherapy
  • radiotherapy
  • surgery
  • prognosis
  • staging

Mots clés

  • séminome
  • tumeur non séminomateuse
  • chimiothérapie
  • radiothérapie
  • chirurgie
  • prognostic
  • stade