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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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[De-escalation: Testicular cancer.]

Javier Mayor1, Mario Álvarez-Maestro2, José Ángel Arranz1

  • 1Hospital General Universitario. Gregorio Marañón. Madrid. España.

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|June 16, 2020
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Summary

This study prioritizes testicular cancer care, focusing on initial diagnostic and therapeutic procedures. Delayed follow-ups for low-risk patients are suggested during de-escalation phases.

Keywords:
COVID-19Cancer de testiculoDe-escalationDesescaladaOrchidectomyOrquiectomiaTesticular neoplasmUrologiaUrology

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Area of Science:

  • Oncology
  • Urology

Background:

  • Testicular cancer management requires efficient resource allocation.
  • The COVID-19 pandemic necessitated adaptations in patient care protocols.

Purpose of the Study:

  • To establish a prioritized algorithm for testicular cancer diagnostics, therapeutics, and follow-up.
  • To guide institutional requirements for patient assessment during the COVID-19 pandemic.

Main Methods:

  • A comprehensive review of existing scientific literature was conducted.
  • A modified nominal group technique was employed for manuscript refinement.

Main Results:

  • Prioritization of initial diagnostic (scrotal ultrasound, orchiectomy, staging CT) and therapeutic procedures is recommended.
  • Emphasis on reducing chemotherapy-induced respiratory toxicity and increasing growth factor use.
  • Active surveillance for clinical stage I non-risk patients is a priority.
  • Most testicular cancer patients with COVID-19 are tentatively cured.

Conclusions:

  • Testicular cancer patients require priority initial assessment during de-escalation phases.
  • Follow-up care for low-risk, non-recurrent patients may be deferred.