The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor

The surgical management of both early and advanced stage germ cell tumors of the testis remains a complex process of surgical decision making to maximize oncologic control while minimizing morbidity. Over the past 5 decades, the evolution of the surgical template for retroperitoneal lymphadenectomy...

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Bibliographic Details
Main Authors: Timothy A. Masterson, Clint Cary
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2018/6783147
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Summary:The surgical management of both early and advanced stage germ cell tumors of the testis remains a complex process of surgical decision making to maximize oncologic control while minimizing morbidity. Over the past 5 decades, the evolution of the surgical template for retroperitoneal lymphadenectomy (RPLND) has resulted in important modifications to achieve these goals. In this review, we will characterize the historical motivating factors that led to the modified template, outline patient and clinical factors in selecting these approaches in both early and advanced stage disease, and briefly discuss future horizons for their implementation.
ISSN:1687-6369
1687-6377