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Terbuch, A; Posch, F; Bauernhofer, T; Pichler, M; Peinsith, H; Szkandera, J; Riedl, J; Hutterer, GC; Pummer, K; Partl, R; Kapp, KS; Stöger, H; Stotz, M; Gerger, A.
Age as a Predictor of Treatment Outcome in Metastatic Testicular Germ Cell Tumors.
Anticancer Res. 2019; 39(10):5589-5596
Doi: 10.21873/anticanres.13753
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Stotz Michael
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Terbuch Angelika
- Co-Autor*innen der Med Uni Graz
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Bauernhofer Thomas
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Gerger Armin
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Hutterer Georg
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Kapp Karin S.
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Partl Richard
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Pichler Martin
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Posch Florian
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Pummer Karl
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Riedl Jakob
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Stöger Herbert
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Szkandera Joanna
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- Abstract:
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To quantify the prognostic impact of age on relapse and mortality in patients with metastatic testicular germ cell tumors (TGCT).
Electronical medical records of 1,225 TGCT patients who were treated at a single academic center between 1994 and 2015 were reviewed.
Higher age did not predict for worse progression-free survival (PFS) or for higher progression risk. The corresponding 5-year PFS estimates were 85% in patients younger than 40 years and 83% in the elderly population. Although not statistically significant, higher age was numerically associated with worse overall survival (OS) (univariate HR per five years increase in age=1.18, 95%CI=0.99-1.41). This was explained in regression analysis where age predicted for significantly higher risk of treatment-related death (p=0.022).
Elderly patients with metastatic TGCT can achieve high cure rates similar to younger patients if they tolerate risk-adapted chemotherapy.
Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Age Factors -
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Disease Progression -
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Humans -
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Male -
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Neoplasms, Germ Cell and Embryonal - drug therapy
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Neoplasms, Germ Cell and Embryonal - pathology
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Prognosis -
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Progression-Free Survival -
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Recurrence -
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Retrospective Studies -
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Risk Factors -
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Testicular Neoplasms - drug therapy
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Testicular Neoplasms - pathology
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Treatment Outcome -
- Find related publications in this database (Keywords)
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Age
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testicular cancer
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germ cell tumors
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prognosis
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outcome
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chemotherapy