Retroperitoneal Lymph Node Dissection as an Alternative Treatment Strategy for Low Volume, Clinical Stage II Testicular Seminoma: A Survey of Patients and Providers

2019 ◽  
Vol 6 (4) ◽  
pp. 249-255
Author(s):  
Jason C. Warncke ◽  
Amanda F. Saltzman ◽  
Paul D. Maroni ◽  
Siamak Daneshmand ◽  
Nicholas G. Cost
Keyword(s):  
Lymph Node ◽  
Alternative Treatment ◽  
Treatment Strategy ◽  
Clinical Stage ◽  
Retroperitoneal Lymph Node Dissection ◽  
Node Dissection ◽  
Retroperitoneal Lymph Node ◽  
Testicular Seminoma ◽  
Alternative Treatment Strategy ◽  
Low Volume

427: Long Term Results of Laparoscopic Retroperitoneal Lymph Node Dissection in Clinical Stage I NSGCT

2005 ◽  
Vol 173 (4S) ◽  
pp. 116-117
Author(s):  
Hannes Steiner ◽  
Reinhard Peschel ◽  
Tilko Müller ◽  
Christian Gozzi ◽  
Georg C. Bartsch ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Clinical Stage ◽  
Stage I ◽  
Long Term Results ◽  
Retroperitoneal Lymph Node Dissection ◽  
Node Dissection ◽  
Retroperitoneal Lymph Node

Value of retroperitoneal lymph node dissection in advanced testicular seminoma

1992 ◽  
Vol 51 (1) ◽  
pp. 65-67 ◽  
Author(s):  
Murali R. Kamat ◽  
Jagdeesh N. Kulkarni ◽  
Hemant B. Tongaonkar ◽  
R. Ravi
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Retroperitoneal Lymph Node Dissection ◽  
Node Dissection ◽  
Retroperitoneal Lymph Node ◽  
Testicular Seminoma

Risk of Recurrence for Clinical Stage I and II Patients With Teratoma Only at Primary Retroperitoneal Lymph Node Dissection

Urology ◽  
2015 ◽  
Vol 86 (5) ◽  
pp. 981-984 ◽  
Author(s):  
Nick W. Liu ◽  
Clint Cary ◽  
Andrew C. Strine ◽  
Stephen D.W. Beck ◽  
Timothy A. Masterson ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Clinical Stage ◽  
Stage I ◽  
Retroperitoneal Lymph Node Dissection ◽  
Node Dissection ◽  
Retroperitoneal Lymph Node ◽  
Risk Of Recurrence ◽  
Primary Retroperitoneal

Nonrandomized Comparison of Primary Chemotherapy and Retroperitoneal Lymph Node Dissection for Clinical Stage IIA and IIB Nonseminomatous Germ Cell Testicular Cancer

2007 ◽  
Vol 25 (35) ◽  
pp. 5597-5602 ◽  
Author(s):  
Andrew J. Stephenson ◽  
George J. Bosl ◽  
Robert J. Motzer ◽  
Dean F. Bajorin ◽  
Jason P. Stasi ◽  
...  
Keyword(s):  
Lymph Node ◽  
Germ Cell ◽  
Lymph Node Dissection ◽  
Clinical Stage ◽  
Primary Chemotherapy ◽  
Retroperitoneal Lymph Node Dissection ◽  
Node Dissection ◽  
Retroperitoneal Lymph Node ◽  
Selection Factors ◽  
Over Time

Purpose Patients with clinical stage (CS) IIA and IIB nonseminomatous germ cell tumor (NSGCT) with adenopathy more than 2 cm, multiple masses, elevated serum tumor markers, or disease outside the primary landing zone have increasingly been recommended to receive primary chemotherapy over time at our institution. The impact of these selection factors on the outcome of patients managed primarily by retroperitoneal lymph node dissection (RPLND) or chemotherapy was examined. Patients and Methods Between 1989 and 2002, 252 patients with CS IIA and IIB NSGCT were referred to our institution for initial management, of whom 136 underwent RPLND and 116 received chemotherapy and postchemotherapy RPLND. Patient information was obtained from a prospective RPLND database. Results Proportionately more patients received chemotherapy over time (22% in 1989 to 1993 v 68% in 1999 to 2002), and the relapse-free survival (RFS) subsequently improved from 84% (1989 to 1998) to 98% (1999 to 2002; P = .004) without increasing the proportion who received any chemotherapy (70% v 79%; P = .16). By increasingly selecting patients with adverse features for primary chemotherapy, the RFS after RPLND improved from 78% to 100% (P = .019), but rates of pathologic stage II and retroperitoneal teratoma were unaffected. Retroperitoneal histology and RFS did not change over time for chemotherapy patients. Primary chemotherapy was associated with improved RFS compared with RPLND (98% v 79%; P < .001), but disease-specific survival did not differ significantly (100% v 98%; P = .3). Conclusion Patient selection factors have significantly improved the outcome of patients with CS IIA and IIB NSGCT without substantially increasing the proportion of patients exposed to chemotherapy.

Sign in / Sign up

Export Citation Format

Share Document