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Table 1 Patient characteristics, treatment regimens and treatment responses

From: Excellent survival in relapsed stage I testicular cancer

 

Cohort A

(n = 81)

Cohort B

(n = 245)

Age at diagnosis (year), median (range)

33 (16 – 66)

34 (17 – 69)

Histological subtype in primary tumor, number (%)a

 Pure seminoma

41 (50.6%)

72 (29.4%)

 Non-seminoma / mixed germ cell tumor

40 (49.4%)

161 (65.7%)

 Pure Teratoma

0

10 (4.1%)

Serum tumor markers prior to treatment, number (%)b

 AFP median (range)

3.1 (n – 104)

4.5 (n – 63951)

  < 1000 ng/ml

71 (100%)

210 (91.7%)

  > 1000 and < 10000 ng/ml

0

14 (6.1%)

  > 10000 ng/ml

0

5 (2.2%)

  Missing values

10/81 (12.3%)

16/245 (6.5%)

 HCG median (range)

0 (n – 549)

8 (n-1′995′937)

  < 5000 IU/l

73 (100%)

200 (86.6%)

  > 5000 and < 50′000 IU/l

0

14 (6.1%)

  > 50′000 IU/l

0

17 (7.4%)

  Missing values

8/81 (9.9%)

14/245 (5.7%)

 LDH median (range)

360.5 (n – 1038)

416 (n – 5666)

  < 1.5 × ULN

40 (60.6%)

73 (34.8%)

  > 1.5 × and < 10 × ULN

26 (39.4%)

129 (61.4%)

  > 10 × ULN

0

8 (3.9%)

  Missing values

15/81 (18.5%)

35/245 (14.3%)

IGCCCG risk classification, number (%)c

 Good prognosis

70 (86.4%)

135 (55.1%)

 Intermediate prognosis

11 (13.6%)d

73 (29.8%)

 Poor prognosis

0

34 (13.9%)

Treatment for metastatic disease

 BEP

55 (67.9%)

174 (71.0%)

 EP

7 (8.6%)

27 (11.0%)

 VIP / TIP

3 (3.7%)

17 (6.9%)

 Othere

9 (11.1%)

14 (5.7%)

 Surgery

7 (8.6%)

0

 Missing data

0

9 (3.7%)

 Residual tumor resection post chemotherapy

12 (14.8%)

82 (34.5%)

 Radiotherapy post chemotherapy

10 (13.2%)

13 (5.4%)

Treatment response

 Complete response (CR)

54 (68.4%)

77 (33.2%)

 CR after residual tumor resection (CRar)

13 (16.4%)

59 (25.4%)

 Partial response (PR)

11 (13.9%)

90 (38.8%)

 Stable disease (SD) / Progressive disease (PD)

0

6 (2.6%)

 Missing data

1 (1.2%)

13 (5.3%)

  1. Abbreviations: AFP alpha-fetoprotein, BEP bleomycin, etoposide, cisplatin, EP etoposide, cisplatin, TIP paclitaxel, ifosfamide, cisplatin, ULN upper limit of normal, VIP cisplatin, etoposide, ifosfamide
  2. aUnknown / burned out tumor: cohort A: n = 0, cohort B: n = 2 (0.8%)
  3. b“n” indicates a normal value
  4. cIGCCCG classification not possible: cohort A: 7/70 NSem patients did not have a known LDH-value and were classified as good prognosis due to favorable clinical parameters; cohort B: 3/245 (1.2%) patients not able to be classified into IGCCCG prognosis group due to missing information
  5. d250 U/l was selected as upper limit of normal (ULN) for serum-LDH. A cut-off of 1.5 × ULN was selected for classification into IGCCCG intermediate risk group
  6. eOther: Cohort A: n = 6 patients defined as treated in SAKK trials (SAKK 01/10 and SAKK 01/18) with 1 cycle of EP + RT or 1 cycle of carboplatin + RT, 2 patients with RT alone and 1 patient with not further specified radiochemotherapy. Cohort B had 4 patients with primary high-dose chemotherapy, 2 patients being treated with multiple cycles of POMB/ACE after 1 cycle of EP, multiple patients treated within clinical trials (SAKK) and some regimes not further specified