Journal article
ACR Appropriateness Criteria Staging of Testicular Malignancy
Journal of the American College of Radiology, v 13(10), pp 1203-1209
01 Oct 2016
PMID: 27526969
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Testicular cancer represents only 1% of all malignancies occurring in men. However, it is the most frequent malignancy in men between the ages of 20 and 34 years, accounting for 10% to 14% of cancer incidence in that age group. In most instances, the diagnosis of testicular tumors is established with a carefully performed physical examination and scrotal ultrasonography. Tumor markers are useful for determining the presence of residual disease. Cross-sectional imaging studies (CT, MRI) are useful in determining the location of metastases. Chest radiography and CI are used to assess pulmonary disease. Fluorine-18-2-fluoro-2-deoxy-n-glucose (FDG) PET scans have slightly higher sensitivity than CT, but their role in staging testicular cancer has not been determined in a large study. FDG PET may play a role in the follow-up of higher stage seminoma after chemotherapy. Bone scans are useful in the absence of FDG PET scans and should be used when bone metastases are suspected.
The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (the RAND/UCLA Appropriateness Method and the Grading of Recommendations Assessment, Development, and Evaluation) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
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Details
- Title
- ACR Appropriateness Criteria Staging of Testicular Malignancy
- Creators
- Joseph H. Yacoub - Loyola University ChicagoAytekin Oto - University of ChicagoBrian C. Allen - Duke Medical CenterFergus V. Coakley - Oregon Health & Science UniversityBarak Friedman - College Station Medical CenterMatthew S. Hartman - Allegheny General HospitalKeyanoosh Hosseinzadeh - Wake Forest UniversityChristopher Porter - Virginia Mason Medical CenterV. Anik Sahni - Brigham and Women's HospitalGary S. Sudakoff - Medical College of WisconsinSadhna Verma - University of Cincinnati Medical CenterCarolyn L. Wang - Seattle Cancer Care AllianceErick M. Remer - Cleveland ClinicSteven C. Eberhardt - University of New Mexico
- Publication Details
- Journal of the American College of Radiology, v 13(10), pp 1203-1209
- Publisher
- Elsevier
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000384962800014
- Scopus ID
- 2-s2.0-84994160300
- Other Identifier
- 991021897487004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging