Abstract
Postchemotherapy surgery for advanced testicular cancer has evolved over the last couple of decades. Patients with nonseminomatous germ cell tumors and residual retroperitoneal mass ≥1 cm should undergo postchemotherapy retroperitoneal lymph node dissection (RPLND). For seminoma, RPLND isconsidered inthose patients with masses ≥3cmthat are also positron emission tomography positive. Masses that occur outside of the retroperitoneum should be completely resected with the possible exception of bilateral lung masses when resection of the first mass shows necrosis. The role of surgery in patients with extragonadal germ cell tumors is most vital in those with primary mediastinal nonseminomatous germ cell tumors. Importantly, patient selection, surgical planning, and consideration of referral to centers with this expertise are important to optimize success.
Original language | English (US) |
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Pages (from-to) | 498-506 |
Number of pages | 9 |
Journal | Oncologist |
Volume | 19 |
Issue number | 5 |
DOIs | |
State | Published - 2014 |
Externally published | Yes |
Keywords
- Germ cell tumor
- Nonseminoma
- Postchemotherapy retroperitoneal lymph node dissection
- Retroperitoneal lymph node dissection
- Seminoma
- Testicular cancer
ASJC Scopus subject areas
- Oncology
- Cancer Research