Adolescent and Young Adult Germ Cell Tumors: Epidemiology, Genomics, Treatment, and Survivorship

dc.contributor.authorTravis, Lois B.
dc.contributor.authorFeldman, Darren R.
dc.contributor.authorFung, Chunkit
dc.contributor.authorPoynter, Jenny N.
dc.contributor.authorLockley, Michelle
dc.contributor.authorFrazier, A. Lindsay
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2025-04-18T11:09:31Z
dc.date.available2025-04-18T11:09:31Z
dc.date.issued2024
dc.description.abstractInnovations in the care of adolescent and young adult (AYA) germ cell tumors (GCTs) are needed for one of the most common AYA cancers for which treatment has not significantly changed for several decades. Testicular GCTs (TGCTs) are the most common cancers in 15- to 39-year-old men, and ovarian GCTs (OvGCTs) are the leading gynecologic malignancies in women younger than 25 years. Excellent outcomes, even in widely metastatic disease using cisplatin-based chemotherapy, can be achieved since Einhorn and Donohue's landmark 1977 study in TGCT. However, as the severity of accompanying late effects (ototoxicity, neurotoxicity, cardiovascular disease, second malignant neoplasms, nephrotoxicity, and others) has emerged, efforts to deintensity treatment and find alternatives to cisplatin have taken on new urgency. Current innovations include the collaborative design of clinical trials that accrue GCTs across all ages and both sexes, including adolescents (previously on pediatric trials), and OvGCT (previously on gynecologic-only trials). Joint trials accrue larger sample sizes at a faster rate and therefore evaluate new approaches more rapidly. These joint trials also allow for biospecimen collection to further probe GCT etiology and underlying mechanisms of tumor growth, thus providing new therapeutic options. This AYA approach has been fostered by The Malignant Germ Cell International Consortium, which includes over 115 GCT disease experts from pediatric, gynecologic, and genitourinary oncologies in 16 countries. Trials in development incorporate, to our knowledge, for the first time, molecular risk stratification and precision oncology approaches on the basis of specific GCT biology. This collaborative AYA approach pioneering successfully in GCT could serve as a model for impactful research for other AYA cancer types.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationTravis LB, Feldman DR, Fung C, Poynter JN, Lockley M, Frazier AL. Adolescent and Young Adult Germ Cell Tumors: Epidemiology, Genomics, Treatment, and Survivorship. J Clin Oncol. 2024;42(6):696-706. doi:10.1200/JCO.23.01099
dc.identifier.urihttps://hdl.handle.net/1805/47166
dc.language.isoen_US
dc.publisherAmerican Society of Clinical Oncology
dc.relation.isversionof10.1200/JCO.23.01099
dc.relation.journalJournal of Clinical Oncology
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectCisplatin
dc.subjectTesticular neoplasms
dc.subjectGenomics
dc.titleAdolescent and Young Adult Germ Cell Tumors: Epidemiology, Genomics, Treatment, and Survivorship
dc.typeArticle
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