OnCo

Extragonadal germ cell tumour: lines of therapy

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3 standard-of-care settings across 1 lines and 2 biomarker subgroups. Rows come from the cancer page's standard of care; the grid places each on its line and subgroup.

LineAll comersIMDC risk
Other settings21

Other settings

SubgroupSettingApproachProducts and trialsEvidence
All comersSeminoma (mediastinal or retroperitoneal)BEP for three cycles or EP for four; radiotherapy only for small retroperitoneal disease; PET to assess residual masses.81
All comersNon-seminoma, retroperitonealBEP for three or four cycles by IGCCCG risk group, then resection of residual masses over one centimetre.81
IMDC riskNon-seminoma, mediastinal (poor risk)Four cycles of BEP or VIP, then surgery of residual disease; consider high-dose chemotherapy with autologous stem cell rescue at relapse; treat in a specialist centre.81

Lines and subgroups are parsed from the setting text of each standard-of-care row and can misclassify an unusual phrasing; the row’s own setting is always shown. Guideline chips reflect the NCCN category and ESMO-MCBS grade recorded on the cancer page, checked on its stated date. Not medical advice.