Gonadoblastoma Follow-up

Updated: Oct 26, 2016
  • Author: Joseph L Lasky, III, MD; Chief Editor: Max J Coppes, MD, PhD, MBA  more...
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Follow-up

Further Outpatient Care

See the list below:

  • After gonadectomy, discharge patients who had gonadoblastoma home with pain medication.

  • Schedule a return visit in the clinic within 2 weeks to make sure the incision has healed well.

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Complications

Treatment for an individual with gonadoblastoma is surgical, and the main complications observed are related to the wound (eg, infection).

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Prognosis

See the list below:

  • The prognosis of patients with gonadoblastoma is excellent if the tumor is removed before the transformation to a malignant germinoma/seminoma occurs.

  • With platinum-based chemotherapy, success rates of curing dysgerminoma/seminoma can be greater than 90%.

  • Identify and treat patients at risk of developing these lesions early in life to reduce the possibility of sustaining morbidity and mortality from these lesions.

  • Successful pregnancy has been achieved in patients with gonadal dysgenesis (45,XO; 46,XY; and others) following stimulation of uterine growth with cyclical hormone replacement. Patients with a Y chromosome should have prophylactic gonadectomies, if they have not had one previously. These can often be at the same time as delivery, which usually requires a Cesarean delivery.

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