What is your preferred mode of vascular access for testicular cancer regimens?
Does your institution prefer use of temporary placement each cycle of a PICC line for 5 days outpatient or long-dwell IV? Do your patients require services at home to maintain the line? Some thought port-a-cath should be avoided for risk of thrombosis.
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What is your preferred mode of vascular access for testicular cancer regimens?
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2 Answers
Mednet MemberInvited Expert
Medical Oncology · Indiana Univ Simon Cancer Center
Answered on
Actually, we try to avoid all vascular access devices, especially PORT, which causes a 10-20% risk for clot as well as infection. These are young healthy patients usually with excellent veins. Over 90% of our large patient populations with testis cancer simply get their 5 days of chemo with a restar...
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Mednet MemberInvited Expert
Medical Oncology · Testicular Cancer Commons
Answered on
See our recent editorial "Once Upon a Time" published in J Clinical Oncology Practice. We go through the scant data available comparing peripheral versus central access for first-line therapy of germ cell tumors. I can say with a fair amount of confidence in these young healthy men, that pretty much...
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