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February 15, 1958


Author Affiliations


From the departments of urology and radiation therapy, Roswell Park Memorial Institute, and the Department of Urology, University of Buffalo School of Medicine.

JAMA. 1958;166(7):751-758. doi:10.1001/jama.1958.02990070037009

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.