Retroperitoneal lymph node dissection for the management of clinical stage I nonseminoma

Richard S. Foster, John P. Donohue

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

Purpose: We review the rationale for the use of retroperitoneal lymph node dissection for clinical stage I nonseminomatous testis cancer. Materials and Methods: The published literature regarding the alternative treatments for clinical stage I nonseminoma was reviewed as well as the personal experience of the authors to define the role of retroperitoneal lymph node dissection. Results: Retroperitoneal lymph node dissection alone is curative in 50% to 75% of patients with pathological stage II disease. The only significant long-term morbidity is a 1% chance of small bowel obstruction. If recurrence develops after retroperitoneal lymph node dissection, it is virtually always curable with cisplatin based chemotherapy. Conclusions: Retroperitoneal lymph node dissection retains a therapeutic and staging capability in these patients. The probability for cure, short and long-term morbidity, and minimal need for long-term followup in these patients indicates that retroperitoneal lymph node dissection continues to be standard therapy for clinical stage I nonseminoma.

Original languageEnglish (US)
Pages (from-to)1788-1792
Number of pages5
JournalJournal of Urology
Volume163
Issue number6
DOIs
StatePublished - Jun 2000

Keywords

  • Lymph node excision
  • Neoplasm metastasis
  • Testicular neoplasms
  • Testis

ASJC Scopus subject areas

  • Urology

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