Clinical dilemmas in local and regional testis cancer.

At the Canadian Testis Cancer Workshop, the multidisciplinary management of testis cancer care was discussed. The two-day workshop involved urologists, medical and radiation oncologists, pathologists, radiologists, physician's assistants, residents, fellows, nurses, patients, and patient advocacy group members. This review summarizes the discussion regarding clinical dilemmas in local and regional testis cancer. We present cases that highlight the need for a coordinated approach to individualize care. Overarching themes include the importance of a multidisciplinary approach to testis cancer, willingness to involve a high-volume experienced center, and given that the oncological outcomes are excellent, a reminder that clinical decisions need to prioritize selecting a strategy with the least treatment-related morbidity when safe to do so.

Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 2020 Sep 18 [Epub ahead of print]

Gregory J Nason, Ricardo A Rendon, Lori Wood, Robert A Huddart, Peter Albers, Lawrence H Einhorn, Craig R Nichols, Christian Kollmannsberger, Lynn Anson-Cartwright, Padraig Warde, Michael A S Jewett, Peter Chung, Philippe L Bedard, Aaron R Hansen, Robert J Hamilton

Division of Urology, Department of Surgery, Princess Margaret Cancer Centre, Toronto, ON, Canada., Department of Urology, Dalhousie University, Halifax, NS, Canada., Division of Medical Oncology, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada., The Institute of Cancer Research and the Royal Marsden NHS Foundation Trust, Sutton, United Kingdom., Department of Urology, Heinrich-Heine University, Medical Faculty, Düsseldorf, Germany., Department of Oncology, Indiana University School of Medicine, Indianapolis, IN, United States., Testicular Cancer Multidisciplinary Clinic, Virginia Mason Medical Center, Seattle, WA, United States., British Columbia Cancer Agency Vancouver Cancer Centre, University of British Columbia, Vancouver, BC, Canada., Department of Radiation Oncology, Radiation Medicine Program, Princess Margaret Hospital, University of Toronto, Toronto, ON, Canada., Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.

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