CHARACTERISTIC CHEMOTHERAPY RESPONSE OF TESTICULAR CANCER PATIENTS IN TERTIARY HOSPITAL

Dio Mafazi Fabrianta, Kurnia Penta Seputra, B. Daryanto
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Abstract

Objective: The purpose of this study was to determine the correlation of testicular tumor markers on the success of chemotherapy in my institution. Material & Methods: This research is a retrospective study single center using the medical record database at the span of the research period. The patient with testicular carcinoma who underwent complete chemotherapy between 2017 until 2022 was included. The data collected and analyzed by descriptive data and analytical correlation using SPSS Ver. 25. The comparation test using T-test and Anova. Results: A total of 31 testicular cancer patients were enrolled in the study. Fifteen patients were seminoma and 16 patients were non-seminoma. The mean age of patient at presentation of seminoma and non seminoma were 38.3 ± 17.03 and 30.74 ± 13.01. Most patients presented a karnofsky score about 79 ± 15. There was a negative correlation (r=-0.492) with a significant correlation between the types of testicular carcinoma cases and the response to chemotherapy (p=0.027).  There was a significant difference in cases of seminoma and non-seminoma to the success of the chemotherapy response (p=0.024). There was a positive correlation between serum β-HCG, AFP, LDH with serial chemotherapy result with a no significant correlation (p=0.879; p=0.242; and p=0.277). Conclusion: Most types of the testicular carcinoma responses to chemotherapy. Patients with seminoma pathology have better response to chemotherapy compared to non-seminoma.
三级医院睾丸癌患者的特征性化疗反应
目的:本研究的目的是确定睾丸肿瘤标志物与我院化疗成功的相关性。材料与方法:本研究为单中心回顾性研究,使用研究期间的病历数据库。在2017年至2022年期间接受完全化疗的睾丸癌患者被纳入其中。数据收集和分析采用描述性数据和分析相关性使用SPSS Ver. 25。比较检验采用t检验和方差分析。结果:共有31例睾丸癌患者被纳入研究。精原细胞瘤15例,非精原细胞瘤16例。出现精原细胞瘤和非精原细胞瘤的平均年龄分别为38.3±17.03岁和30.74±13.01岁。大多数患者的karnofsky评分为79±15分。睾丸癌病例类型与化疗反应呈负相关(r=-0.492),相关性显著(p=0.027)。精原细胞瘤与非精原细胞瘤患者化疗成功率差异有统计学意义(p=0.024)。血清β-HCG、AFP、LDH与连续化疗结果呈正相关,但无显著相关性(p=0.879;p = 0.242;和p = 0.277)。结论:大多数类型的睾丸癌对化疗有应答。与非精原细胞瘤患者相比,有精原细胞瘤病理的患者对化疗的反应更好。
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