The current survival    rate    is  >95%    in  patients    with    germ    cell    tumors  managed
with    conservative    management  and chemotherapy.   Before  the chemotherapy    era,
most    patients    succumbed   to  their   disease.
germ    cell    tumors  require postoperative   chemotherapy.   The most    active
regimens    used    are vinblastine,    bleomycin,  and cisplatin.  Follow-up   after
conservative    surgery is  every   three   months  with    pelvic  examination and tumor
marker  measurements.