İleri Evre Testis Tümörlerinin Tedavisi
Özet
İleri evre testis tümörlerinde tedavinin temel taşı içinde sisplatinin bulunduğu kemoterapidir. Kemoterapi ile histolojik alt tipe göre değişebilmekle birlikte yüksek oranlarda kür sağlanabilmektedir. Birinci basamak tedaviden fayda görmeyen hastalarda etkinlikleri düşük de olsa ikinci ve üçüncü basamak kemoterapi seçenekleri mevcuttur. Bunun yanı sıra yüksek doz kemoterapi sonrası otolog kemik iliği nakli de ayrı bir tedavi alternatifi olarak yer almaktadır. Oransal olarak düşük de olsa tüm bu tedavilere dirençli olan bir hasta grubu vardır. Testis tümörlerinde immünoterapi veya hedefe yönelik tedavilerin etkinliğine dair henüz yeterli kanıt bulunmamaktadır.
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