The course of testicular tumors was studied in 59 patients treated by orchiectomy and x-ray. Of the 59 tumors, 22 were seminomas. Metastases to the para-aortic lymph nodes were found in 19 (32%) of 59 cases, including 7 (32%) of 22 in the seminoma group. The seminomas were treated by orchiectomy and x-ray only; the remaining tumors were treated similarly with the addition (if metastases were not extensive and the case was operable) of retroperitoneal lymph node dissection. A review of the status of these patients four years after operation showed 14 (64%) of the 22 patients with seminoma and 15 (41%) of the 37 patients with other testicular tumors living and well. The additional retroperitoneal radical lymph node dissection appears to improve the survival rate of the embryonal carcinomas and teratocarcinomas.
Staubitz WJ, Magoss IV, Oberkircher OJ, Lent MH, Mitchell FD, Murphy WT. MANAGEMENT OF TESTICULAR TUMORS. JAMA. 1958;166(7):751–758. doi:10.1001/jama.1958.02990070037009
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