Value of retroperitoneal lymph node dissection in advanced testicular seminoma
โ Scribed by Dr. Murali R. Kamat; Jagdeesh N. Kulkarni; Hemant B. Tongaonkar; R. Ravi
- Publisher
- John Wiley and Sons
- Year
- 1992
- Tongue
- English
- Weight
- 303 KB
- Volume
- 51
- Category
- Article
- ISSN
- 0022-4790
No coin nor oath required. For personal study only.
โฆ Synopsis
Seven patients with advanced seminoma of the testis (stages I1 C and 111) were treated with 3 induction cycles of VAB-6 chemotherapy. Three patients had complete remission after chemotherapy and are alive disease free at 32, 38, and 40 months with no additional treatment. Four patients were subjected to retroperitoneal lymph node dissection for residual retroperitoneal masses measuring 2-4 cm after chemotherapy, which revealed fibrosis in 2 patients and metastatic seminoma in the other 2. Patients with metastatic residual masses were given postoperative radiation therapy to the retroperitoneum and are alive disease free at 33 and 34 months, while those with fibrosis are alive disease free at 30 and 52 months, respectively, with no additional treatment. 0 1992 WiIey-Liss, Inc.
๐ SIMILAR VOLUMES
Review of the postoperative course of seven patients who underwent retroperitoneal lymph node dissection (RPLND) for staging of testicular carcinoma revealed an unexplained tachycardia that was persistent for several days. Postoperative catecholamine determinations from three subsequent patients sub