Should we reduce routine surveillance imaging in pediatric germ cell tumors?

Author:

Terenziani Monica1ORCID,Barretta Francesco2,Gattuso Giovanna1ORCID,Bisogno Gianni3ORCID,Conte Massimo4,Crocoli Alessandro5ORCID,De Pasquale Maria Debora6,Biasoni Davide7,Spreafico Filippo1ORCID,D'Angelo Paolo8

Affiliation:

1. Pediatric Unit Fondazione IRCCS Istituto Nazionale dei Tumori Milan Italy

2. Medical Statistics, Biometry and Bioinformatics Unit Fondazione IRCCS Istituto Nazionale dei Tumori Milan Italy

3. Hematology Oncology Division Department of Women's and Children's Health University of Padova Padua Italy

4. UOC Oncologia IRCCS Istituto Gaslini Genoa Italy

5. General Surgery Department Bambino Gesù Children's Hospital, IRCCS Rome Italy

6. Pediatric Hematology/Oncology Cell and Gene Therapy Department Bambino Gesù Children's Hospital, IRCCS Rome Italy

7. Urologic Surgery Unit Fondazione IRCCS Istituto Nazionale dei Tumori Milan Italy

8. Pediatric Hematology and Oncology Unit, ARNAS “Civico Di Cristina and Benfratelli” Hospitals Palermo Italy

Abstract

AbstractThis paper retrospectively investigated the site and the detection method of relapses in children and adolescents with malignant germ cell tumors enrolled in the TCGM‐AIEOP‐2004 Study and subsequently developed a relapse, in order to evaluate a possible reduction in radiological exposure during follow‐up. Including all malignant cases, serum tumor markers identified a relapse in more than 70% and, according to the selection criteria published by Children Oncology Group in 2018, in more than 90% of cases. These results confirm the importance of serum tumor markers as a relapse detection method, with possible reduction of radiology exams in specific subgroups.

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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