The evolving role for surgery in the management of nonseminomatous testicular carcinoma

Journal Article

Once the only therapy available for locoregional disease extension, the approriate role for surgical management by retroperitoneal lymphadenectomy (RPND) of nonseminomatous germ cell testicular cancer is now being redefined in an algorithm of management comprising several modalities. Nerve-sparing techniques for RPND have overcome a substantial hesitancy for its continued utilization. Its continued use in low stage disease provides both therapeutic and diagnostic benefit; its role in relation to surveillance protocols will be defined. For bulky disease, node dissection is best reserved after induction chemotherapy; the need for surgery after such chemotherapy will be reviewed. © 1990 Springer-Verlag.

Full Text

Duke Authors

Cited Authors

  • Walther, PJ

Published Date

  • 1990

Published In

Volume / Issue

  • 8 / 1

Start / End Page

  • 13 - 19

International Standard Serial Number (ISSN)

  • 0724-4983

Digital Object Identifier (DOI)

  • 10.1007/BF01576272