What is the difference between germ cell tumors in men and women?
CN: The primary difference is the frequency with which they occur. Germ cell tumors of the ovary are quite rare and hence the number of clinical trials and state of clinical knowledge are certainly not as complete as those for male germ cell tumors. The main histologic subtypes are represented as in male germ cell tumors, management includes primary surgery (usually a one sided removal of the ovary and associated tube) frequently followed by similar cisplatin based chemotherapy. These are highly curable tumors and similar treatments have resulted in similar success in women as men. 27) What are your thoughts on universal screening for testicular cancer? CN: This is a very difficult subject concept that is counter intuitive to many patients and physicians. In all cancer screening programs the value is largely related to the incidence of the disease and the impact of finding the disease early. For instance, screening for lung cancer (which is 20 times more common than testicular cancer)