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Late relapse of clinical stage I testicular cancer
J Baniel1, R S Foster, L H Einhorn
1Department of Urology, Indiana University Medical Center, Indianapolis 46202-5250, USA.
Purpose:
The clinical presentation and treatment of late recurrence (2 or more years after initial management) of testis cancer are defined.
Materials And Methods:
A retrospective search was performed to identify patients treated for late relapse at our university from 1979 to 1992 who had initially presented with clinical stage 1 disease.
Results:
We treated 35 patients with chemotherapy for late relapse. No patient has remained disease-free with chemotherapy alone. Subsequent surgery resulted in 43% of the patients being currently disease-free.
Conclusions:
The treatment of late relapse is surgical. Chemotherapy before late relapse for low volume disease does not uniformly prevent late recurrence.