Would you recommend consolidative RT for a mediastinal germ cell tumor with partial response after chemotherapy?
Answer from: Medical Oncologist at Academic Institution
There is no evidence or logic in postchemotherapy radiotherapy for patients with residual mass with nonseminomatous germ cell tumor. Instead such patients should be referred to a thoracic surgeon with experience and skill in resecting residual masses.
For mediastinal seminoma, there will alm...
Answer from: Medical Oncologist at Community Practice
What Dr Einhorn said! If this is a mediastinal nonseminoma without significant extra mediastinal residual and has had a favorable serologic response, would strongly consider referral to expert center with a very experienced thoracic team willing to do the necessary and often complicated surger...