85 patients with resected stage II non-seminomatous testicular cancer
were treated with adjuvant cisplatin-based chemotherapy. Only one pati
ent developed a relapse 14 months after discontinuation of adjuvant ch
emotherapy, which was successfully treated with salvage chemotherapy.
One patient developed a contralateral testicular tumor 6 years after p
rimary therapy. After a median observation time of 6 years (range 2 mo
nths to 13 years) 84 patients are alive without evidence of testicular
cancer; one died from an unrelated cause. In conclusion, adjuvant cis
platin-based chemotherapy for resected stage Il nonseminomatous testic
ular cancer almost always prevents relapse.