Germ Cell Tumours III :Proceedings of the Third Germ Cell Tumour Conference Held in Leeds, UK, on 8th—10th September 1993

Publication subTitle :Proceedings of the Third Germ Cell Tumour Conference Held in Leeds, UK, on 8th—10th September 1993

Author: Jones   W. G.;Harnden   P.;Appleyard   I.  

Publisher: Elsevier Science‎

Publication year: 2013

E-ISBN: 9781483278384

P-ISBN(Paperback): 9780080421988

P-ISBN(Hardback):  9780080421988

Subject: R4 Clinical Medicine;R5 Internal Medicine

Language: ENG

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Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

Advances in the Biosciences, Volume 91: Germ Cell Tumours III documents the proceedings of the Third Germ Cell Tumor Conference held in Leeds, UK on September 8-10, 1993.
This book focuses on germ cell tumors, which can be cancerous or non-cancerous tumors that normally occur inside the gonads. The topics discussed include the embryological mechanisms of maldescent and tumorigenesis; epidemiology of cryptorchidism; simultaneous bilateral testicular tumors; and mediastinal germ cell tumors. The classification of germ cell tumors; role of positron emission tomography in the assessment of germ cell tumors; chemotherapy of seminoma; and prognostic factors in disseminated non-seminomatous testicular cancer are also elaborated in this text.
This publication is intended for medical students and individuals interested in germ cell tumors.

Chapter

Chapter 1. Embryological Mechanisms of Maldescent and Tumourigenesis

ABSTRACT

Introduction

Hormonal Control

Undescended Testis

Aetiology of cryptorchidism in the human

Effect of Undescended Testis

References

Chapter 2. The Epidemiological Association between Undescended Testis, Inguinal Hernia and Testicular Cancer: Results from the U.K. National Case-Control Study of Testicular Cancer

REFERENCES

Chapter 3. The Epidemiology of Cryptorchidism: Results from the John Radcliffe Hospital Cryptorchidism Study

Introduction

John Radcliffe Hospital Cryptorchidism Study

Discussion and Conclusions

Acknowledgements

References

Chapter 4. Maldescent and Cryptorchidism: A Rational Approach to Management

Introduction

Fertility

Malignancy

Retractile Testes

Hormone Therapy

Impalpable Testes

References

Chapter 5. Recent Progress in Research on CIS in Adults. Biological Aspects and Screening

Possible fetal origin of CIS cells

Progression from CIS to invasive cancer

Prevalence of CIS in different population groups

Screening and management of CIS

Perspectives for the future

References

Chapter 6. Simultaneous Bilateral Testicular Tumours

Chapter 7. Are Paediatric Germ Cell Tumours Germ Cell Tumours?

REFERENCES

Chapter 8. Pathology and Cytogenetics of Germ Cell Tumours in Children

Benign Germ Cell Tumours

Germ Cell Tumours of Indeterminate Behaviour

Malignant Germ Cell Tumours

Malignant mixed germ cell tumours (MMGCTs)

Extragonadal germ cell tumours (EGGCTs)

Genetics of germ cell tumours

Summary and Conlusions

References

Chapter 9. UKCCSG Studies of Paediatric Germ Cell Tumours

ABSTRACT

INTRODUCTION

PATIENTS AND METHODS

PRELIMINARY RESULTS

CONCLUSION

REFERENCES

Chapter 10. Changing Pattern of Incidence and Survival in Children with Germ Cell Tumours (GCTs)

ABSTRACT

INTRODUCTION

METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 11. Testicular Non-Seminomatous Germ Cell Tumour (TGMnS) French Society of Pediatric Oncology Experience (SFOP), 1985–1989

Chapter 12. Chemotherapy Associated Toxicity in Patients with Malignant Non Testicular Germ Cell Tumours (MNGCTs). Comparison of MAKEI 83/86 and MAKEI 89

Chapter 13. Germ Cell Tumours in Children: A Report of 84 Cases

Patients

Results of Treatment

Conclusion

Chapter 14. Paediatric Germ Cell Tumours in the West Midlands Health Authority Region (WMHAR): Increasing Incidence and Pattern of Geographical Distribution

Reference

Chapter 15. Gonadotrophin and Sex Hormone Levels in Testis Cancer Patients with and without Carcinoma In Situ of the Contralateral Testis

Abstract

Introduction

Patients and Methods

Statistical method

Results

Discussion

References

Chapter 16. Contralateral Biopsies in Patients with Testicular Germ Cell Tumour —The German Experience

Abstract

Introduction

Terminology

Materials and Methods

Results

Discussion

Conclusion

Acknowledgement

References

Chapter 17. Seminal Fluid Analysis and Carcinoma-In-Situ of the Testis

Acknowledgement

Chapter 18. Abdominal CT Scans in Patients with Retroperitoneal Germ Cell Tumours with or without Carcinoma In Situ

Chapter 19. The Value of Testicular Biopsy as a Screening Procedure for Future Malignant Germ Cell Tumours in Infertile Men

Conclusion

References

Chapter 20. Interphase Cytogenetics of Testicular Germ Cell Tumours: Clonal Origin of Seminoma and Nonseminoma Components in Combined Tumours

ABSTRACT

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 21. Growth of Human Seminoma Cells on STO Feeder Depends on Phenotype, Presence of Fetal Calf Serum and Added Growth Factors

Abstract

Introduction

Materials and Methods

Results

Discussion

Acknowledgements

References

Abbreviations

Chapter 22. Molecular Genetics in Germ Cell Tumours

Lessons From Cytogenetics

A Novel Model of Origin of Germ Cell Tumours

Novel Tumour Suppressor Genes on 12q

Does KIT/MGF Deregulation Underlie Nonseminomatous Differentiation?

Genetic Loss and Somatic Differentiation of Teratomas

Gene Amplification in Germ Cell Tumours

Conclusion

Acknowledgements

References

Chapter 23. Mediastinal Germ Cell Tumours

Introduction

Materials and Methods

Results

Discussion

REFERENCES

Chapter 24. The Origin of Non-Germ Cell Tumour Elements within Germ Cell Tumours and Midline Tumours of Uncertain Histogenesis

INTRODUCTION

METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 25. Unusual Neoplasms Detected in Testis Cancer Patients Undergoing Post Chemotherapy Retroperitoneal Lymphadenectomy

ABSTRACT

INTRODUCTION

METHODS AND MATERIALS

RESULTS

DISCUSSION

CONCLUSION

REFERENCES

Chapter 26. Outcome Analysis for Patients with Persistent Non-Seminomatous Germ Cell Tumour in Post-Chemotherapy Retroperitoneal Lymph Node Dissections

INTRODUCTION

PATIENT AND METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 27. The Wilms' Tumour 1 Gene in Testicular Cancer Patients

Chapter 28. Image Analysis Quantitation of p53 Gene Product and Ki-67 in Testicular Germ Cell Tumours — A Quantitative Immunohistochemical Study

Chapter 29. Is Apoptosis an Important Mode of Death in Embryonal Carcinoma?

Chapter 30. Growth Inhibition and Differentiation of a Human Embryonal Carcinoma (EC) Cell Line by Osteogenic Protein-1 (OP-1)

Summary

Introduction

Results

References

Chapter 31. Revised International Histological Classification of Testicular Tumours

I. Germ Cell Tumours

II. Sex Cord/Stromal Tumours

III. A. Tumours and Tumour-Like Lesions Containing Both Germ Cells and Sex/Cord Stromal Elements

Ill B. Tumour-Like Lesion Composed of Various Constituents of the Gonad

IV., V., VI. Miscellaneous Tumours, Haematopoietic Tumours, and Secnodary Tumours

VII. Tumours of Collecting Ducts, Rete, Epididymis, Spermatic Cord, Capsule, Supporting Structures and Appendices

Summary

References

Chapter 32. New Classification of Germ Cell Tumours

Gonocytoma

Seminoma

Teratogenic gonocytoma

References

Chapter 33. Discussion on the Classification of Germ Cell Tumours

Chapter 34. Grading Germ Cell Tumours as a Means to Resolve the Last Twenty Five Years Transatlantic Conflict over Testis Tumour Classification

Chapter 35. The Clinical Value of Imaging Germ Cell Tumours with Radiolabeled Antibodies

Abstract

Introduction

Methods

Results

Discussion

Acknowledgments

References

Chapter 36. The Role of Positron Emission Tomography in the Assessment of Germ Cell Tumours

Abstract

Introduction

Patients and Methods

Results

Discussion

References

Chapter 37. The Princess Margaret Hospital Experience in the Management of Stage I and II Seminoma — 1981 to 1991

Introduction

Patients and methods

Statistical methods

Results

Discussion

Acknowledgements

References

Chapter 38. Chemotherapy of Seminoma

Conclusions

References

Chapter 39. Late Relapse in Patients on Surveillance for Stage I Testicular Seminoma

Introduction

Patients and Methods

Discussion

Chapter 40. Surveillance of Stage 1 Non-Seminomatous Testicular Cancer — A Preliminary Report of the EORTC GU-Cooperative Group Surveillance Study

Introduction

Materials and Methods

Results

Discussion

Summary

References

Chapter 41. Short Course Adjuvant Chemotherapy in High Risk Stage I Non-Seminomatous Germ Cell Tumours of the Testis (NSGCTT): An MRC Study Report

Chapter 42. One Course Adjuvant Treatment for Stage 1 Germ Cell Tumours

Introduction

Chapter 43. NSGCT Stage I — Adjuvant Chemotherapy for Patients with Vascular Invasion and Surveillance for Patients without Vascular Invasion: Update of a Prospective Trial after 8 Years

Surveillance (= no vascular invasion) patients

Adjuvant chemotherapy (= vascular invasion) patients

Overall outcome

Conclusion

References

Chapter 44. Testicular Cancer in Russia

References

Chapter 45. Good Risk Chemotherapy Trials for Patients with Advanced Germ Cell Tumours: The MSKCC Experience

INTRODUCTION

BACKGROUND

GOOD RISK TRIALS IN GCT

THE FUTURE

CONCLUSIONS

REFERENCES

Chapter 46. Carboplatin-Based Chemotherapy in Good Prognosis Metastatic Non-Seminoma of the Testis (NSGCT): An Interim Report of an MRC/EORTC Randomised Trial

Chapter 47. Insurance Status as a Prognostic Factor for Stage and Survival of Testicular Cancer Patients in Illinois

ABSTRACT

INTRODUCTION

METHODS AND MATERIALS

RESULTS

DISCUSSION

REFERENCES

Chapter 48. Prognostic Factors in Metastatic Seminoma and Non-Seminomatous Germ Cell Tumours

Chapter 49. Prognostic Factors in Disseminated Non- Seminomatous Testicular Cancer

Chapter 50. Predictors of Residual Mass Histology Following Chemotherapy for Metastatic Nonseminomatous GCT: Univariate and Multivariate Meta-Analysis

Chapter 51. Resection of Small Masses of Residual NSGCT and Subsequent Therapy: Dilemmas in Clinical Decision Making

Chapter 52. Needs, Findings and Outcome of Post-Chemotherapy Surgery of Residual Masses (RM) in Patients with Non-Seminomatous Germ Cell Testis Tumours (NSGCTT) at a Single Institution

Conclusions

Part I: Treatment of Brain Metastases Round Table

Chapter 53. Treatment of Central Nervous System (CNS) Metastases of Non-Seminomatous Germ Cell Tumours: The Charing Cross Experience

Chapter 54. Treatment of Cerebral Metastases from Malignant Germ Cell Tumours

Conclusion

Chapter 55. Management of Central Nervous System Metastases in Patients with Disseminated Germ Cell Tumours

Chapter 56. The Treatment of Brain Metastases from Germ Cell Cancer — A Report of the Round-Table Discussion

Chapter 57. Dose Intensive Chemotherapy for Poor Prognosis Germ Cell Malignancies

PATIENTS AND METHODS

TABLE 1 ELIGIBILITY CRITERIA INCLUSION CRITERIA

TABLE 2 DRUG DOSE LEVELS

STATISTICAL ANALYSES

DISCUSSION

REFERENCES

Chapter 58. Schedule Intensive Treatment for Testicular Germ Cell Tumours

Introduction

Reported Experiences

Discussion

Acknowledgements

References

Chapter 59. Salvage Therapy in Metastatic Non-Seminomatous Germ Cell Tumour at the University of Texas M.D. Anderson Cancer Center

Chapter 60. Late Relapses in Advanced Malignant Germ Cell Tumours (MGCT) Treated with Cisplatin Based Chemotherapy

Purpose

Materials and Methods

Results

Discussion

References

Chapter 61. The Importance of Dose Intensity in the Chemotherapy of Advanced Testicular Cancer

Part II: Salvage Chemotherapy and ABMT Round Table

Chapter 62. Salvage Chemotherapy and Autologous Bone Marrow Transplantation: 9-Year Experience at Institut Gustave-Roussy

ABSTRACT

INTRODUCTION

PATIENTS AND METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 63. Dose-Intensive Chemotherapy in Patients with Germ Cell Tumours: The Memorial Sloan-Kettering Cancer Center Experience

INTRODUCTION

PROGNOSTIC FACTORS FOR SALVAGE THERAPY

CONCLUSIONS/FUTURE DIRECTIONS

REFERENCES

Chapter 64. A High-Dose Carboplatin-Based Salvage Strategy for Relapsing or Refractory Germ Cell Cancer

Chapter 65. High Dose Chemotherapy with Autologous Marrow Rescue for Germ Cell Salvage Consolidation: Vancouver Experience

Patients and Methods

Results

Discussion

References

Chapter 66. Management of Recurrent Germ Cell Tumours: Role of High Dose Chemotherapy

Chapter 67. High Dose Chemotherapy with Haemopoietic Stem Cell Support

Chapter 68. Salvage Chemotherapy and Autologous Bone Marrow Chemotherapy for Refractory Germ Cell Malignancies

Chapter 69. High Dose Chemotherapy Plus Stem Cell Support for Poor Risk Testicular Cancer or as Salvage Therapy for Patients with Relapsed Disease

Chapter 70. Salvage Chemotherapy and Autologous Stem Cell/Bone Marrow Transplantation in Germ Cell Cancer — Summary of Papers Presented and Round-Table Discussion

Chapter 71. Surgery in Non-Seminomatous Germ Cell Tumours of the Testis

Contusions

References

Chapter 72. Aortic Replacement in Retroperitoneal Lymph Node Dissection for Metastatic Germ Cell Cancer

ABSTRACT

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 73. Resection of the Inferior Vena Cava or Intraluminal Tumour Thrombectomy During Retroperitoneal Lymph Node Dissection for Metastatic Germ Cell Cancer: Indications and Results

Abstract

Introduction

Materials and Methods

Results

Discussion

References

Chapter 74. Retroperitoneal Surgery: Management Strategies in Malignant Teratoma

Elective surgery - 33 patients

Interventional surgery - 5 patients

Relapsed disease - 7 patients

Conclusion

Chapter 75. Modified Retroperitoneal Lymph Node Dissection for Testicular Tumour: Open and Laparoscopic Approach, Operative Technique and Results

References

Chapter 76. Late Side Effects in Patients Treated for Testicular Cancer

Introduction

Gastrointestinal toxicity

Nephrotoxicity

Neurotoxicity

Ototoxicity

Cardiovascular toxicity

Pulmonary toxicity

Second non-germ cell malignancy

Sexuality, infertility and paternity

Psychosocial problems

Conclusions

References

Chapter 77. Fertility in Nerve-Sparing RPLND

ABSTRACT

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

REFERENCES

Chapter 78. Treatment for Loss of Ejaculation after Para-Aortic Lymphadenectomy

ACKNOWLEDGEMENTS

REFERENCES

Chapter 79. Second Cancer Risk Following Testicular Cancer

Introduction

The Dutch study of second cancer risk following testicular cancer

Directions for future research

References

Chapter 80. Long-Term Toxicity after Cisplatinum-Based Chemotherapy

I. Pulmonary toxicity

II. Renal toxicity

III. Neurotoxicity

IV. Vascular toxicity

V. Fertility problems

VI. Secondary malignancy

Conclusion

References

Chapter 81. Experience of a Testicular Cancer Patient Support Group

Chapter 82. Severe Vascular Side Effects of Cisplatinum Based Chemotherapy

Chapter 83. Haemopoietic Growth Factors: An Overview

SUMMARY

HAEMOPOIESIS

CLINICAL APPLICATIONS

REFERENCES

Chapter 84. Development of New Antiemetics

Introduction

Nausea and vomiting induced by chemo- and radiotherapy

Limitations of traditional antiemetic regimens

The discovery of the 5-HT3 receptor antagonists

Characteristics of the 5-HT3 receptors

The role of the 5-HT3 receptor

The development of the 5-HT3 receptor antagonists as antiemetic agents

The antiemetic sites of action of 5-HT3 receptor antagonists

Chemotherapy, 5-hydroxytryptamine and emesis

The role of the 5-HT3 receptor antagonists as antiemetic agents in man

5-HT3 receptor antagonists: The cost effective advance in chemotherapy

Future potential of antiemetic therapy

REFERENCES

Chapter 85. Strategies to Control Vomiting Caused by Anticancer Drugs

INTRODUCTION

MANAGEMENT O F ACUTE AND DELAYED EMESIS

5-HT3 ANTAGONISTS

ANTIEMETIC PROBLEMS

CONCLUSIONS

REFERENCES

Chapter 86. Chemotherapy for Testicular Cancer: Prophylactic Ciprofloxacin Reduces the Incidence of Neutropenic Pyrexia

Chapter 87. Germ Cell Tumours: Past, Present and Future

INTRODUCTION

CONCLUSION

REFERENCES

Part III: Abstracts of Poster Presentations

Chapter 88. Is there any Relationship between Vasectomy and Testicular Cancer?

Vasectomy

Vasectomy - it's effect on health

Vasectomy and testicular cancer

Yorkshire data

Conclusions and future studies

REFERENCES

Chapter 89. Primary Cerebral Germinoma in Children — French Society of Paediatric Oncology (SFOP) Experience

Chapter 90. NSGCTT Metastases

REFERENCE

Chapter 91. A Pilot Evaluation of Peripheral Blood Stem Cell Transplants Compared to ABMT Following High Dose Chemotherapy

Chapter 92. Clinical Features and Prognosis of Primary Mediastinal and Retroperitoneal Germ Cell Tumours Treated with Cisplatin-Based Chemotherapy

Chapter 93. Four Drug Combination Chemotherapy Consisting of Etoposide, Cisplatin, Bleomycin and Cyclophosphamide for Advanced Metastatic Non-Seminomatous Germ Cell Tumours

Chapter 94. Germ Cell Tumours and Carcinoma In Situ of the Testis Detected by Fine Needle Biopsy

Introduction

Method

Results

Discussion

Chapter 95. Malignant Sex Cord/Stromal Tumours: A Case Report of a Metastatic Sertoli-Leydig Cell Tumour of the Testis

SUMMARY

CASE REPORT

DISCUSSION

REFERENCES

Chapter 96. Phase III Trial of Early Intensified Chemotherapy (HDCT) with Autologous Bone Marrow Transplantation (ABMT) in First Line Treatment of Poor Risk Non-Seminomatous Germ Cell Tumours (NSGCT): Long Term Results of a Randomised Trial

Results

Conclusion

Chapter 97. Estimation of 12p Copy Number in Paraffin-Embedded Tissue Sections of Germ Cell Tumours by In Situ Hybridization of a Microdissected 12p Probe

Chapter 98. An Evaluation of a Testicular Self-Examination Video

Chapter 99. High Dose Chemotherapy with Autologous Bone Marrow Transplantation for Advanced Germ Cell Tumours

Chapter 100. Localised Gonadal Non-Seminomatous Germ Cell Tumours — French Society of Pediatric Oncology Experience (SFOP)

Chapter 101. Salvage Therapy in Refractory/Relapsed Germ Cell Tumours: Etoposide, Ifosfamide and Cisplatin (VIP)

Materials and Methods

Patients characteristics

Results

Conclusions

Chapter 102. Preliminary Results of BOP—VIP Protocol in Poor Risk "Worst Prognosis" Non-Seminomatous Germ Cell Tumours of Testis

Chapter 103. Cancer in Cryptorchid Testes at IRCH All India Institute of Medical Sciences, New Delhi 1987–1992

Chapter 104. Weekly Cisplatinum Combination Chemotherapy Regimes for Relapsed/Poorly Responding Metastatic Malignant Germ Cell Tumours

Chapter 105. The Results of a Surveillance Study in Stage I Non-Seminomatous Germ Cell Tumours of the Testis

Chapter 106. HCG Positive Seminoma

Introduction

Methods

Results

Conclusion

Index

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