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COMBINED TREATMENT OF A PATIENT WITH A TESTICULAR GERM CELL TUMOR WITH SIGNS OF MULTIPLE ORGAN FAILURE

https://doi.org/10.17709/2409-2231-2019-6-3-12

Abstract

Testicular cancer is a rare malignant tumor. In the structure of general cancer incidence, this nosology accounts for about 1–1.5% of cases. Among this pathology, about 90–95% is due to testicular germ cell tumors. Currently, testicular cancer is a potentially treatable solid tumor with a 10-year survival rate of more than 95% upon timely diagnosis and proper treatment. In this regard, early diagnosis and treatment of this pathology is an urgent task today. The article presents a clinical observation of the treatment of a patient with a testicular germ cell tumor. The presented clinical case demonstrates the successful conduct of neoadjuvant chemotherapy and further orchifuniculectomy in the presence of distant metastases namely in case of a non-seminomic form of a testicular germ cell tumor. The approach to treating patients with testicular tumors must be individualized and take into account both the potential gain and the potential risks of the treatment being performed.

About the Authors

T. V. Ustinova
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
oncologist, chemotherapy department
Competing Interests: Аuthors report no conflict of interest.


L. V. Bolotina
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, DSc, head of chemotherapy department
Competing Interests: Аuthors report no conflict of interest.


A. A. Fedenko
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, DSc, head of tumor drug treatment department
Competing Interests: Аuthors report no conflict of interest.


H. S. Gevorgyan
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
urologist, department of oncourology
Competing Interests: Аuthors report no conflict of interest.


A. A. Paichadze
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, researcher, department of chemotherapy
Competing Interests: Аuthors report no conflict of interest.


A. L. Kornietskaya
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, senior researcher, department of chemotherapy
Competing Interests: Аuthors report no conflict of interest.


N. V. Vorobyev
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, urologist, head, department of oncourology
Competing Interests: Аuthors report no conflict of interest.


K. M. Nushko
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, leading researcher, department of oncourology
Competing Interests: Аuthors report no conflict of interest.


A. S. Kalpinskiy
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
MD, PhD, senior researcher, department of oncourology
Competing Interests: Аuthors report no conflict of interest.


A. A. Kachmazov
P.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation
Russian Federation
junior researcher
Competing Interests: Аuthors report no conflict of interest.


K. M. Isaeva
I.M.Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
resident
Competing Interests: Аuthors report no conflict of interest.


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For citations:


Ustinova T.V., Bolotina L.V., Fedenko A.A., Gevorgyan H.S., Paichadze A.A., Kornietskaya A.L., Vorobyev N.V., Nushko K.M., Kalpinskiy A.S., Kachmazov A.A., Isaeva K.M. COMBINED TREATMENT OF A PATIENT WITH A TESTICULAR GERM CELL TUMOR WITH SIGNS OF MULTIPLE ORGAN FAILURE. Research and Practical Medicine Journal. 2019;6(3):129-137. (In Russ.) https://doi.org/10.17709/2409-2231-2019-6-3-12

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ISSN 2410-1893 (Online)