The role of retroperitoneal surgery in testis cancer

Details

Serval ID
serval:BIB_54BD9E0287E3
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The role of retroperitoneal surgery in testis cancer
Journal
Critical Reviews in Oncology/Hematology
Author(s)
Leisinger  H. J., Donohue  J. P.
ISSN
1040-8428
Publication state
Published
Issued date
10/2002
Peer-reviewed
Oui
Volume
44
Number
1
Pages
71-80
Notes
Journal Article
Review --- Old month value: Oct
Abstract
Testis cancer is today a curable malignancy. But controversy remains about the appropriate management of patients presenting different stages. There is an increasing interest in surveillance rather than in primary retroperitoneal lymph node dissection (RPLND) for stage I non-seminomatous germ cell tumors (NSGCT). Adjuvant chemotherapy has become an efficient treatment option for high risk non-seminomatous germ cell testis cancer, however, biological and histologic risk factors of the primary tumor are not yet precisely defined. To determine the appropriate management of patients with testicular cancer, postoperative morbidity after RPLND and risk of chemotherapy-induced morbidity must be balanced. Whoever reviews the literature must take into consideration that the excellent postoperative results after RPLND depend on high volume and large experience with testis cancer. As treatment morbidity and its intensity have a major impact on testis cancer patient quality of life, the choice of management must be based on the patient's social situation, his personal needs, and the doctor's experience and resources.
Keywords
Antineoplastic Agents/therapeutic use/toxicity Humans *Lymph Node Excision Male Neoplasms, Germ Cell and Embryonal/therapy Retroperitoneal Space/surgery Seminoma/pathology/surgery/therapy Testicular Neoplasms/pathology/*surgery/therapy
Pubmed
Web of science
Create date
21/01/2008 16:09
Last modification date
20/08/2019 14:09
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