John P. Donohue, MD
Donohue JP. Testicular Cancer, Clinical Stage I. Ann Intern Med. 1989;110:409-410. doi: 10.7326/0003-4819-110-5-409_2
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Published: Ann Intern Med. 1989;110(5):409-410.
To the Editor: Stephens and Williamson (1) reviewed seven surveillance series and cited these experiences as a mandate for abandonment of surgical staging of testicular cancer, clinical stage I. The authors reviewed the literature and did not report their own experience. From my experience in a single series of more than 1000 cases that occurred over a 20-year period, I have found that testis tumor is still treacherous and is perhaps best staged early and accurately. If such staging can be done without any long-term morbidity, it is both prudent and rational to do so, at least for the time
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