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A Study of CT Scan Frequency in Patients With Stage I Testicular Teratoma


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Open (Enrolling)
Male
Testicular Germ Cell Tumor

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Trial Information

A Study of CT Scan Frequency in Patients With Stage I Testicular Teratoma


OBJECTIVES:

- Determine whether there is a difference between two schedules of CT scan surveillance
in respect to stage of disease at relapse, survival, the investigation determining
relapse, and incidence of second malignancies in patients with stage I testicular
teratoma after orchidectomy.

OUTLINE: This is a randomized, multicenter study. Patients are stratified by center and
presence of vascular invasion.

After orchidectomy, patients are randomized into two schedules (arms I and II) of CT scan
follow up.

- Arm I: Patients repeat chest and abdominal CT scans no later than 3 months after
orchidectomy and again at 12 months to confirm that the patient is clear of disease.

- Arm II: Patients repeat chest and abdominal CT scans at 3, 6, 9, 12, and 24 months
after orchidectomy.

Patients are followed monthly for the first year after orchidectomy, then every 2 months for
the second year, then every 3 months for the third year, and then every 4-6 months
thereafter.

PROJECTED ACCRUAL: There will be 400-900 patients accrued into this study over 3-6 years.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed nonseminomatous germ cell tumor of the testis Stage I
disease:

- No evidence of metastatic disease on clinical examination

- Normal chest x-ray

- Normal chest and abdominal CT scan

- Normal serum tumor marker (AFP, HCG) after orchidectomy

- High risk patients should be considered for ongoing studies of adjuvant chemotherapy
after orchidectomy, but those choosing not to take this option may enter this study

- Orchidectomy no greater than 8 weeks prior to randomization into this study

PATIENT CHARACTERISTICS:

Age:

- Not specified

Performance status:

- Not specified

Life expectancy:

- Not specified

Hematopoietic:

- Not specified

Hepatic:

- Not specified

Renal:

- Not specified

Other:

- No other concurrent or prior malignancy except successfully treated nonmelanomatous
skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Not specified

Chemotherapy:

- Not specified

Endocrine therapy:

- Not specified

Radiotherapy:

- Not specified

Surgery:

- See Disease Characteristics

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Primary Purpose: Diagnostic

Principal Investigator

Gordon J.S. Rustin, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Mount Vernon Cancer Centre at Mount Vernon Hospital

Authority:

United States: Federal Government

Study ID:

CDR0000066440

NCT ID:

NCT00003420

Start Date:

July 1997

Completion Date:

Related Keywords:

  • Testicular Germ Cell Tumor
  • stage I malignant testicular germ cell tumor
  • testicular teratoma
  • Testicular Neoplasms
  • Neoplasms, Germ Cell and Embryonal

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