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OBJECTIVE We reviewed current experience at our university with delayed orchiectomy after chemotherapy in patients with metastatic nonseminomatous germ cell tumors. METHODS We retrospectively analyzed the records of 160 patients with metastatic germ cell cancer who were given systemic chemotherapy, and subsequently underwent orchiectomy and retroperitoneal lymph node dissection. RESULTS Analysis of 160 testicular specimens revealed necrosis or scar in 70 (43.7%), pure teratoma in 50 (31.2%) and persistent germ cell cancer in 40 (25%). Corresponding incidences of histopathological findings in the post-chemotherapy retroperitoneal lymph node dissection specimens were significantly different, correlating with less than half of the cases (chi-square, p = 0.002). CONCLUSIONS Our study confirms the need for delayed orchiectomy after systemic chemotherapy even when there seems to be a partial or complete clinical response at other sites.
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
January 1990,
Progress in clinical and biological research,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
January 1998,
Oncology,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
October 1997,
Urology,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
November 1984,
Seminars in urology,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
April 1996,
The Journal of urology,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
August 2023,
Journal of clinical oncology : official journal of the American Society of Clinical Oncology,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
March 2020,
International journal of urology : official journal of the Japanese Urological Association,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
June 1999,
Zhonghua yi xue za zhi = Chinese medical journal; Free China ed,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
December 2004,
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie,
I Leibovitch, and
J S Little, and
R S Foster, and
R G Rowland, and
R Bihrle, and
J P Donohue
May 2007,
The Urologic clinics of North America,
