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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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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author Timothy A. Masterson
Clint Cary
author_facet Timothy A. Masterson
Clint Cary
author_sort Timothy A. Masterson
collection DOAJ
description 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.
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spelling doaj-art-f5fd7fdcc2a444cfb1b116176d21524d2025-02-03T06:08:32ZengWileyAdvances in Urology1687-63691687-63772018-01-01201810.1155/2018/67831476783147The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell TumorTimothy A. Masterson0Clint Cary1Department of Urology, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Urology, Indiana University School of Medicine, Indianapolis, IN 46202, USAThe 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.http://dx.doi.org/10.1155/2018/6783147
spellingShingle Timothy A. Masterson
Clint Cary
The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor
Advances in Urology
title The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor
title_full The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor
title_fullStr The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor
title_full_unstemmed The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor
title_short The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor
title_sort use of modified templates in early and advanced stage nonseminomatous germ cell tumor
url http://dx.doi.org/10.1155/2018/6783147
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