Tumor de células germinales testiculares (TCG)
Vista determinista de la entidad fuente YAML. La autoridad clínica sigue con los ID de fuente citados y estado de firma del revisor.
| ID | DIS-TESTICULAR-GCT |
|---|---|
| Tipo | Enfermedad |
| Aliaces | Tumor de células germinales (TCG)Non-seminomatous germ cell tumor (NSGCT)SeminomaCáncer testicularTumor de células germinativas testicularesTCG mixto testicularГерміногенна пухлина яєчка |
| Situación | reviewed 2026-05-04 | pending_clinical_signoff |
| Enfermedades | Ninguna declarada |
| Fuentes | Ninguna declarada |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 9061/3 |
|---|---|
| icd_o_3_topography | ["C62.0", "C62.1", "C62.9"] |
| icd_10 | C62.9 |
| who_classification | WHO Urinary and Male Genital Tumours 5th ed (2022): Germ cell tumours |
Notas
Testicular GCT is the most common solid tumor in men aged 15-35 and one of the most curable cancers even at metastatic stage (BEP-based chemotherapy cures ~80-92% of metastatic good/intermediate-risk GCT; ~50% poor-risk). Early diagnosis via self-examination + ultrasound is critical. All staging workup requires serum AFP, beta-hCG, LDH at diagnosis and post-orchiectomy to determine marker trajectory. RPLND (retroperitoneal lymph node dissection) is used for: residual masses after chemotherapy (seminoma → PET-guided; NSGCT → surgery for >1cm residual), pathologic stage I NSGCT surveillance-alternative.
Utilizado por
Algoritmos
ALGO-GCT-METASTATIC-1L- ALGO-GCT-METASTATIC-1LALGO-GCT-SALVAGE-2L- ALGO-GCT-SALVAGE-2L
Indicación
IND-GCT-METASTATIC-1L-BEP- IND-GCT-METASTATIC-1L-BEPIND-GCT-METASTATIC-1L-EP- IND-GCT-METASTATIC-1L-EPIND-GCT-SALVAGE-2L-HDCT-ASCT- IND-GCT-SALVAGE-2L-HDCT-ASCTIND-GCT-SALVAGE-2L-TIP- IND-GCT-SALVAGE-2L-TIP
Cuestionarios
QUEST-TESTICULAR-GCT-1L-STUB- Tumor de células germinativas testiculares — primera línea
Esquema terapéutico
REG-BEP-GCT- BEP (bleomycin + etoposide + cisplatin, tumor de células germinales)REG-EP-GCT- EP (etoposide + cisplatin, tumor de células germinales)REG-TIP-GCT-SALVAGE- TIP (paclitaxel + ifosfamide + cisplatin, salvamento de tumores de células germinales)
Fuentes
SRC-NCCN-TESTICULAR-2025- Guías de Práctica Clínica NCCN - Cáncer Testicular