Tumeur des cellules germinales testiculaires (TCG)
Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.
| ID | DIS-TESTICULAR-GCT |
|---|---|
| Type | Maladie |
| Alias | Tumeur à cellules germinales (TCG)Tumeur des cellules germinales non séminomateuses (TCNNG)SéminomeCancer testiculaireTumeur des cellules germinatives testiculairesTémoignages mixtes GCTГерміногенна пухлина яєчка |
| État | reviewed 2026-05-04 | pending_clinical_signoff |
| Maladies | Aucune déclaration |
| Sources | Aucune déclaration |
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 |
Notes
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.
Utilisé par
Algorithmes
ALGO-GCT-METASTATIC-1L- ALGO-GCT-METASTATIC-1LALGO-GCT-SALVAGE-2L- ALGO-GCT-SALVAGE-2L
Indication
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
Questionnaires
QUEST-TESTICULAR-GCT-1L-STUB- Tumeur des cellules germinales testiculaires — première ligne
Protocole thérapeutique
REG-BEP-GCT- BEP (bleomycin + etoposide + cisplatin, tumeur des cellules germinales)REG-EP-GCT- EP (etoposide + cisplatin, tumeur des cellules germinales)REG-TIP-GCT-SALVAGE- TIP (paclitaxel + ifosfamide + cisplatin, germ cell tumor salvage)
Sources
SRC-NCCN-TESTICULAR-2025- Lignes directrices de pratique clinique du NCCN — Cancer testiculaire