Surgery on Germ Cell Tumor Eradication in Children

At the present stage of the development of society, the profession of a nurse is not only one of the most massive, but also one of the most socially significant. Currently, the health care system is undergoing several substantial changes, affecting, among other things, nursing activities. In particular, special attention is paid to the introduction of new approaches aimed at the prevention and management of chronic socially caused non-communicable human diseases. Therefore, they have to apply the PICOT framework for specific clinical cases, such as doctor and nurse operative collaboration. In children (P), what is the effect of surgery (I) on germ cell tumor eradication (O) compared with non-surgical treatments (C) within three years (T)?

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The treatment of patients with immature teratoma of the ovary is determined not only by the stage of the process but also by the degree of the immaturity of the primary tumor, the presence of peritoneal gliomatosis, and the scale of cancer. If immature glial tissue or teratoid tumor components are found in the peritoneal implants, the treatment regimen for metastatic immature ovarian teratoma is taken as the basis. Thus, it can be considered as an evidence-based solution of the polymorphic tumor (Alongi, Mazzola, Figlia, & Guckenberger, 2018). Children with immature teratoma of the ovary and peritoneal gliomatosis require long-term follow-up, as late relapses of the disease with malignant transformation of glial components on the peritoneum are possible. These complications are practically absent in patients with immature testicular teratomas since the process along the peritoneum does not disseminate: therefore, in children with immature testicular teratomas, the treatment conditions are much better (Zamecnik, Rychnovsky, & Syrovatka, 2018). Children with gonadal tumors with different morphological structures and localization of the lesion have a different prognosis. Therefore, they should receive treatment taking into account the risks of the course of the tumor process. Additional information in the morphological study of a distant tumor, as well as the study of genes in tumor cells, make it possible to predict the course of the tumor process.

For the convenience of working with qualitative features, subsequent nursing intervention, and evaluation of the obtained data, the healthcare agency should express the measurement results in arbitrary units or points. Summing or subtracting scores will allow nurses to quantitatively describe certain characteristics using indices and, in the final result, calculate the patient’s integrative risk index or indicator (Zamecnik et al., 2018). The given approach will result in proper patient care because they are mostly young teenagers. The results can be visualized by constructing diagrams that reflect both the relatively prosperous areas of the patient’s life and those in which risk factors are formed. Thus, there are completely different approaches in the nursing practice on patients with common stages and relapses of the disease. Surgery follows chemotherapy, usually after reducing the size of the recurrent tumor and metastases and normalizing the level of tumor markers (Alongi et al., 2018). The results of treating patients with disseminated carcinogenic tumors are significantly worse if, before surgery, chemotherapy fails to normalize levels of tumor markers

In conclusion, the creation of a multidimensional image of the patient using timely comparison and control will thus enable the nursing staff, regardless of the doctor, to significantly improve the quality of medical care. This will be facilitated by a comprehensive approach to identifying risk factors and patient problems, low laboriousness with sufficient information content. It will also enable the ability to play in a wide network of intervention facilities and the possibility of improving the processes of standardization and technologization of the professional activities of nurses and increasing their professional competence.


Alongi, F., Mazzola, R., Figlia, V., & Guckenberger, M. (2018). Stereotactic body radiotherapy for lung oligometastases: Literature review according to PICO criteria. Tumori Journal, 104(3), 148-156.

Zamecnik, M., Rychnovsky, J., & Syrovatka, J. (2018). Sinonasal SMARCB1 (INI1) deficient carcinoma with yolk sac tumor differentiation: Report of a case and comparison with INI1 expression in gonadal germ cell tumors. International Journal of Surgical Pathology, 26(3), 245-249.

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