Guideline recommendations what is the standard of care

Based on the evidence discussed above, the National Comprehensive Cancer Network in their Testicular Cancer guideline (Version 1.2006) writes ''Presently, two regimens are considered standard treatment programs in the United States for good-risk germ cell tumors: 4 cycles of EP, or 3 cycles of BEP'' [17]. In their consensus statement, the European Germ Cell Cancer Consensus Group states that ''For patients with 'good' prognosis disease, according to IGCCCG criteria, standard treatment is three cycles ofBEP. In cases ofcontraindications against bleomycin four cycles of cisplatin and etoposide (PE) can be given'' [18].

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