Staging and Surgery in Testicular Cancer

Pizzocaro, Giorgio; Jc, Durand; Wa, Fuchs; Ce, Merrin; Musumeci, R; Schmucki, O; Vahlensieck, W; Wf, Whitmore; Vl, Zvara

doi:10.1159/000473162

Cited by 22 publications

(9 citation statements)

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“…These relapses occur at a median of 8 months following treatment, and almost never beyond 2 years [9], Pulmonary metastases represent the most fre quent site of recurrence in such patients [9], However, in one large series elevated tumor markers were the only evi dence of tumor recurrence in 3 of 30 relapsed patients; all three relapses were detected within 6 months of treatment [7], In general, most relapses in patients with PSI NSGCT can be salvaged successfully with combination chemo therapy [5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Late Relapse in Pathologic Stage I Non-Seminomatous Germ Cell Tumor: Case Report and Review of the Literature

Bilgrami

Chen²,

Shafi³

et al. 1994

Urol Int

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Late relapses are exceedingly uncommon in patients with pathologic stage (PS) I non-seminomatous germ cell tumors (NSGCT) of the testis treated with inguinal orchiectomy and retroperitoneal lymph node dissection (RPLND). We describe an unusual patient with PSI NSGCT who relapsed 40 months after surgery. The only evidence of recurrent disease was an elevated serum α-fetoprotein level, and complete remission was achieved following the prompt institution of combination chemotherapy. To our knowledge, this is the first report of a late relapse in PSI NSGCT of the testis manifested only as an elevated tumor marker.

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Section: Discussionmentioning

confidence: 99%

An Unusual Late Relapse in Pathologic Stage I Non-Seminomatous Germ Cell Tumor: Case Report and Review of the Literature

Bilgrami

Chen²,

Shafi³

et al. 1994

Urol Int

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“…If métastasés are found, all retroperitoneal lymph nodes within reach are removed because, in this case, lymph drainage may be irregular. As to the operative technique we refer the reader to the liter ature [46][47][48].…”

Section: Retroperitoneal Lymphadenectomy (Rla)mentioning

confidence: 99%

“…Adding the results of 92 lymphadenectomies performed in cases of embryonal rhabdomyosarcoma, only 3 of a total of 229 lymphadenectomies performed on children (1.3%) lead to complications. In contrast, adult morbid ity is higher: in a collection of 882 patients, the rate of complication was between 5.8 and 14.7% [48]. This does not include the high rate of loss of ejaculation observed, which amounts to about 70% in adult males [56].…”

Section: Retroperitoneal Lymphadenectomy (Rla)mentioning

confidence: 99%

Germinal Testicular Tumors in Childhood

Weißbach¹,

Altwein²,

Stiens³

1984

Eur Urol

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“…Stage II-A is the same as described by Vugrin et al [16]; stage II-B is different in that only 'microscopic' extracapsular spread is considered, and stage II-C is characterized by very bad prognostic features in radically resected patients [10,11], Patients with unresectable retroperitoneal métastasés, or gross residual disease after surgery were considered stage II-D [3] and did not enter this study.…”

Section: Analysis Of Patientsmentioning

confidence: 99%

“…The reported long-term survival in resected stage-II nonseminomatous germ cell tumors (NSGCT) of the tes tis following orchidectomy and retroperitoneal lymph node dissection (RPLND), alone or in combination with radiation therapy, ranges between 38 and 70% [1][2][3]. Most relapses occur during the first year of follow-up and most frequently they are due to distant métastasés, usually in the lung.…”

Section: Introductionmentioning

confidence: 99%