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Staging lymphadenectomy in diagnosis and therapy of the first stage in embroinal nonseminamatous tumour growth
Article published in Urologia Polska 1993/46/1.

authors

Leszek Jeromin, Marek Sosnowski
Z Kliniki Urologii Instytutu Chirurgii AM w Łodzi
Kierownik Kliniki: prof. dr hab. med. L. Jeromin Dyrektor Instytutu: prof. dr hab. med. A. Sołtysiak

summary

The authors present, 52 positive results of \"staging lymphadenectomy\" treatment during the first stage of nonsemitoatous germinal tumour testis. By means of this method precise staging of the disease could be defined and, in 15 cases (28,8%), after surgical procedures of patients suffering from mirco-metastases in lymph nodes chemotherapy could be performed. No important intra-or postoperative complications in those patients were observed. Ejaculatory _rbances were observed in 7 patients and only 4 (7,7%) were permanent. Lu ng and Inguinale lymph nodes metastases were observed during one year in 4 (7,7%) patients and disappeared after chemotherapy.
All the patients are still alive, and without active neoplasm. Among all the factors that could cause metastases only neoplasmatic invasion of blood yessels of the tumour was statistically significant.

references

  1. 1.Boyer M., Raghavan D.: Toxicity of treatment of germ cell tumors. Sem. Oncolog.,1992, 19, 128. —
  2. 2. Fosa S.D., Ous S., Stenwig A.E., Lien H.H., Aass N., Kaalhus O.:Distribution of retroperitoneal lymph node metastases in patients with non-semi-nomatous testicular cancer in clinical stage I. Eur. Urol., 1990, 17, 107. —
  3. 3. Foster R.S., Donohue J.P.: Surgical treatment of clinical stage I nonseminomatous testis cancer. Sem. Oncolog., 1992, 19, 166. —
  4. 4. Horwich A., Peckham M.J: Surveillance after orchidectomy for clinical stage I germ cell tumors of the testis. EORTC Genitourinary Group Monograph 5: Progress and Controversies in Oncological Urology II. Alan R. Liss, Inc. New York, 1988, 471. —
  5. 5. Lange P.H.,Chang W. Y., Fraley E.E.: Fertility issues in the therapy of nonseminomatous testicular tumors. Urol. Clin. North Amer., 1987, 14,731.
  6. 6. Madej G., Pawiński A.: Ocena wybranych czynników prognostycznych w planowaniu leczenia chorych na nienasieniaki jądra w I stopniu zaawansowania. Nowotwory, 1990, 40, 176.
  7. 7. Munechika H., Cohan R.H., Dunnick Ń.R.:Non-semi-nomatous testicular tumors: Effect of lesion side on CT detection of lymph modę metastasis. Comput. Med. Imag. Graph., 1988, 12,343.
  8. 8. Pizzocaro G., Zanoni P., Sahioni R., Milani R., Piva L., Pilotti S.\\\\ Difficulties of a surveillance study omitting retroperitoneal lymphadenectomy in clinical stage I nonseminomatous germ cell tumors of the testis. J.Urol.,1987, 138, 1393. —
  9. 9. Pizzocaro G., Nicolai N., Sahioni R., Piva L., Faustini M., Zanoni F., Milani A.: Comparison between clinical and pathological staging in low stage nonseminomatous germ cell testicular tumors. J. Urol., 1992, 148, 76. —
  10. 10. Raghavan D., Colls B., Levi J.,Fitzharris B., Tattersal M.H.N., Atkinson C, Woods R., Farrell C, Wines R.\\\\ Surveillance for>tage I nonseminomatous germ cell tumors of the testis: the optimal protocol has not yet been defined. Brit. J. Urol., 1988, 61, 522.
  11. 11. Richie P.: Clinical stage I testicular cancer: the role of modified retroperitoneal lymphadenectomy. J. Urol., 1990, 144, 1160. —
  12. 12. Sociński M.A., Stomper P.C.: Radiologic evaluation of nonseminomatous germ cell tumor of the testis. Sem. Urol., 1988, 6, 203. —
  13. 13. Sogani P.C.: Evolution of the management of stage I nonseminomatous germ-cell tumors of the testis. Urol. Clin. North Amer., 1991, 18, 561. —
  14. 14.Sosnowski M.,Jeromin L.,Płużańska A.:Zastosowanie zmodyfikowanej limfadenektomii u chorych z 1° klinicznego zaawansowania nienasieniakowatych guzów jądra. Nowotwory, 1992, 42, 156. —
  15. 15. Weissbach L., Boedefeld E.A., Hortsman-Dubral B.: Surgical treatment of stage I non-seminomatous germ cell testis tumor. Eur. Urol., 1990, 17, 97.

correspondence

prof. dr hab. med. Leszek Jeromin
Ul. Pabianicka 62,
93-513 Łódź
Klinika Urologii AM