Clinical Interest for Patients
My interest in testicular cancer has guided my training and career development. Testicular cancer is a disease that affects boys and men of all ages. For that reason, after completing my residency in Urology and Urologic Surgery, I pursued fellowship training in both urologic oncology (cancer treatment) and pediatric urology. This allows me to provide care to children, adolescents, and adults with testicular cancer at both “adult” and “pediatric” hospitals.
I am involved with testicular cancer both as a clinician and as a researcher. My particular areas of focus include:
•Robotic surgery for testicular cancer
•Testicular cancer in adolescents
•The Long-term effects of testicular-cancer treatment
My additional clinical interests are in cancers and tumors in children, adolescents, and adults. Specifically kidney tumors (Wilms Tumor, Renal Cell Carcinoma (RCC), Angiomyolipomas(AML)), Testicular and Para-testicular tumors, and Pelvic Tumors (Rhabdomyosarcomas). This additionally includes patients with tumor predisposition syndromes such as von Hippel Lindau, Tuberous Sclerosis, and Birt-Hogg-Dube. My training in both urologic oncology and pediatric urology has prepared me to care for these patients of all ages and can see them either through Children's Hospital Colorado or through the University Hospital.
I also am interested in the use of minimally invasive surgery (robotic-assisted laparoscopy, laparoscopy, single-site laparoscopy, and endoscopy) for all variety of urologic conditions.
Within other areas of Pediatric Urology, I am interested in Ureteropelvic junction obstruction, Vesicoureteral reflux, and Urolithiasis (kidney stones).
I believe that by working in such a wonderful environment at the University of Colorado Anschutz Medical Campus, we can provide the most current therapy as well be involved in research to improve outcomes for patients with testicular cancer.
My clinical philosophy for patient care is to first listen to the patient's concerns and needs. Then, I assess the patient's condition and previous testing and labs in order to explain my evaluation and offer my recommendations. I believe it is important to make sure the patient and family understand their condition as well as possible to enable us all to make the plan of care together, as a team.
I am available to discuss your situation with you or your physician, so please feel free to contact me anytime at the e-mail address below. I look forward to the opportunity to work with you.
Nicholas Cost, MD
1.Cost NG, Lubahn JD, Adibi M, Romman A, Wickiser JE, Raj GV, Sagalowsky AI and Margulis V. Risk Stratification for Pubertal Children and Post-pubertal Adolescents with Clinical Stage I Testicular Non-Seminomatous Germ Cell Tumors. Journal of Urology, in press, accepted August 2013.
2.Cost NG, Lubahn JD, Adibi M, Romman A, Wickiser JE, Raj GV, Sagalowsky AI and Margulis V. A Comparison of Pediatric, Adolescent and Adult Testicular Germ Cell Malignancy. Pediatric Blood and Cancer, e-Pub September 17, 2013.
3.Cost NG. Testicular Germ Cell Tumors: Current Concepts and Management Strategies. Minerva Urologica e Nefrologica. 2013: 65(2):133-155.
4.Cost NG, DaJusta DG, Granberg CF, Cooksey RM, Laborde CE, Wickiser JE and Gargollo PC. Robotic Assisted Laparoscopic Retroperitoneal Lymph Node Dissection in an Adolescent Population. Journal of Endourology. 2012; 26(6):635-40.
5.Cost NG, Adibi M, Lubahn JD, Romman A, Raj GV, Sagalowsky AI and Margulis V. Effect of Testicular Germ Cell Tumor Therapy on Renal Function. Urology. 2012; 80(3):641-8.
6.Cost NG, Cost CR, Geller JI and DeFoor WR. Adolescent Urologic Oncology: Current Issues and Future Directions. Urologic Oncology: Seminars and Original Investigations, e-Pub November 7, 2012.
7.Applegate KE and Cost NG. Image Gently: A Campaign to Reduce Children’s and Adolescents’ Risk for Cancer During Adulthood. Journal of Adolescent Health. 2013; 52(5 Suppl):S93-7.
Outside of work I enjoy spending time with my wife, my son, and family. We love to travel and experience foreign languages and cultures, specifically the time we spend in Italy. I enjoy being active and being in the wonderful Colorado outdoors (Golf, Skiing, Basketball, Soccer, Running), but also try to find time to relax and enjoy reading, both fiction and non-fiction.
Kidney Cancer; Testicular Cancer; Pediatric, Adolescent and Young Adult Urologic Oncology