BackTable Urology

Ep. 227 Tumor Board: Multidisciplinary Management of Testicular Germ Cell Tumors with Dr. Nabil Adra and Dr. Richard Matulewicz


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What does it take to deliver truly personalized, multidisciplinary care in testicular cancer? Get an inside look in this episode of BackTable Urology, where renowned testicular cancer experts Dr. Nabil Adra and Dr. Richard Matulewicz join host Dr. Aditya Bagrodia for a virtual tumor board session on the nuanced management of germ cell tumors. This episode was produced in collaboration with the Society of Urologic Oncology.


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SYNPOSIS


The expert panel uses specific patient cases to review their decision-making processes on the use of surgery, chemotherapy, and radiation. They highlight the importance of a multidisciplinary approach, particularly for advanced disease and challenging surgical scenarios. The episode reviews patient-specific factors, standard treatment protocols, post-treatment surveillance, and the latest research. This episode also highlights the benefits of personalized cancer care.


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TIMESTAMPS


00:00 - Introduction

01:45 - Case Presentation: 23-Year-Old Male with Testicular Mass

02:14 - Initial Counseling and Management

04:03 - Orchiectomy and Post-Surgery

06:27 - Stage I Management

10:00 - Surveillance and Adjuvant Therapy

13:56 - Recurrence

23:13 - Case Study: 44-Year-Old with Non-Seminoma

28:14 - Case Study: 17-Year-Old with Developmental Delay and Cancer

29:42 - Chemotherapy Decisions

30:31 - Brain Imaging and Metastasis Predictions

33:54 - Chemotherapy Regimens

35:53 - Monitoring and Salvage Therapy

45:01 - Case Study: 21-Year-Old with Teratoma

55:21 - Concluding Thoughts



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RESOURCES


Society of Urologic Oncology:

https://suonet.org/home.aspx

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