Clinical Stage I Testicular Cancer: Orchiectomy without Node Dissection
Authors: Ronald L. Stephens
Journal: Annals of Internal Medicine (1988)

Editorials1 August 1988Clinical Stage I Testicular Cancer: Orchiectomy without Node DissectionRonald L. Stephens, MD, Stephen K. Williamson, MDRonald L. Stephens, MDSearch for more papers by this author, Stephen K. Williamson, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-109-3-179 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecently, eliminating retroperitoneal lymph node dissection has been considered for young men with clinical stage I nonseminomatous testicular cancer (1). The interest in avoiding this surgery is partially due to improved imaging techniques that allow physicians to verify more conclusively the absence of disease in this region of lymphatic drainage (true clinical stage I disease). In addition, high chemotherapeutic cure rates have been seen (2) in patients with advanced testis cancer.Within the past 3 years or more several nonrandomized prospective trials have provided insight into the role of orchiectomy alone for clinical stage I nonseminomatous testicular cancer. This review...References1. PeckhamBarrettHusbandHendry MAJW. Orchiectomy alone in testicular stage I non-seminomatous germ-cell tumors. Lancet. 1982;2:678. CrossrefMedlineGoogle Scholar2. EinhornDonohue LJ. Cis-diamminedichloroplatinum, vinblastine, and bleomycin combination chemotherapy in disseminated testicular cancer. Ann Intern Med. 1977;87:293-8. LinkGoogle Scholar3. SoganiWhitmoreHerr PWH. Orchiectomy alone in the treatment of clinical stage I nonseminomatous germ cell tumor of the testis. J Clin Oncol. 1984;2:267-70. CrossrefMedlineGoogle Scholar4. PizzocaroZanoniMilani GFA. Orchiectomy alone in clinical stage I nonseminomatous testis cancer: a critical appraisal. J Clin Oncol. 1986;4:35-40. CrossrefMedlineGoogle Scholar5. JohnsonLovon EschenbachSwanson DRAD. Surveillance alone for patients with clinical stage I nonseminomatous germ cell tumors of the testis: preliminary results. J Urol. 1984;131:491-3. CrossrefMedlineGoogle Scholar6. HoskinDillyEastonHorwichHendryPeckham PSDAWM. Prognostic factors in stage I non-seminomatous germ-cell testicular tumors manged by orchiectomy and surveillance: implications for adjuvant chemotherapy. J Clin Oncol. 1986;4:1031-6. CrossrefMedlineGoogle Scholar7. SturgeonHermanJewettAlisonGospodarowiczComisarow JJMRMR. A policy of surveillance alone after orchidectomy clinical stage I non-seminomatous testis tumors. Proc Amer Soc Clin Oncol. 1983;2:142. Google Scholar8. OliverHope-StoneBlandy RHJ. Justification of the use of surveillance in the management of stage I germ cell tumours of the testis. Br J Urol 1983;55:760-3. CrossrefMedlineGoogle Scholar9. ReadJohnsonWilkinsonEddleston GRPB. Prospective study of follow up alone in stage I teratoma of the testis. Br Med J [Clin Res]. 1983;287:1503-5. CrossrefMedlineGoogle Scholar10. SkinnerMelamudLieskovsky DAG. Complications of thoraco-abdominal retroperitoneal lymph node dissection. J Urol. 1982;127:1107-10. CrossrefMedlineGoogle Scholar11. GarnickRichie MJ. Toward more rational management for stage I testis cancer: watch out for "watch and wait"! [Editorial]. J Clin Oncol. 1986;4:1021-3. CrossrefMedlineGoogle Scholar12. Whitmore W. Surgical treatment of clinical stage I nonseminomatous germ cell tumors of the testis. Cancer Treat Rep. 1982;66:5-10. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University of Kansas Medical Center Kansas City, Kansas PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTesticular neoplasms and tumoral markersRetroperitoneal imaging with third and fourth generation computed axial tomography in clinical stage I nonseminomatous germ cell tumorsWhat is a chronic disease? The effects of a re-definition in HIV and AIDSStaging Relationships and Outcome in Early Stage Testicular Cancer: A Report From the Testicular Cancer Intergroup StudyThe Use of a Markov Process to Simulate and Assess Follow-up Policies for Patients with Malignant DiseaseSarcoid reaction mimicking intrathoracic dissemination of testicular cancerThe evolving role for surgery in the management of nonseminomatous testicular carcinomaTesticular Cancer, Clinical Stage IJohn P. Donohue, MD 1 August 1988Volume 109, Issue 3Page: 179-181KeywordsClinical trialsImaging techniquesLymph nodesOrchiectomyPatientsSurgeryTesticular cancer Issue Published: 1 August 1988 PDF downloadLoading ...