How would you manage a patient with metastatic testicular cancer, NSGCT who has multiple CNS-only recurrences after prior systemic BEP and TIP?

For a patient, who has received SBRT & WBRT for CNS disease, is there a role of autoSCT and HD-chemo in this setting (no residual extra-CNS disease)?

Answer from: Medical Oncologist at Academic Institution

Patients with advanced metastatic germ cell tumors with CNS recurrences, despite standard dose chemo with BEP and TIP and prior CNS XRT, represent a complicated clinical situation. These patients are almost always patients with either mainly choriocarcinoma or with initial hCG levels >100,000. Fo...

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Medical Oncologist at Testicular Cancer Commons
Certainly agree and would add emphasis that such p...

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How would you manage a patient with metastatic testicular cancer, NSGCT who has multiple CNS-only recurrences after prior systemic BEP and TIP?

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