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Medical News
June 29, 1964

Surgery, Irradiation, Chemotherapy: All Valuable In Treating Testicular Tumors

JAMA. 1964;188(13):29. doi:10.1001/jama.1964.03060390077041

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Abstract

Treatment of testicular tumors at the Mayo Clinic includes one or a combination of the following techniques: (1) inguinal orchiectomy; (2) bilateral retroperitoneal lymphadenectomy; (3) supravoltage irradiation, and (4) chemotherapy.

David C. Utz, MD, in a report to the 113th annual AMA convention on the experiences at the Mayo Clinic involving 188 testicular tumor patients between 1950 and 1963, said retroperitoneal lymphadenectomy was mostly limited to the affected side during the period covered by the report. He noted the reluctance by some to explore the contralateral side, although the decussation of retroperitoneal lymphatics in the area of primary metastases, the insertion of the spermatic veins near the renal pedicle, has been clearly demonstrated.

"Their view is expressed that any nodes other than in the ipsilateral primary side represent secondary metastases and the salvage rate with such nodes involved is disheartening," Utz said. "On the other hand, I have discovered metastases

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