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Clinical Stage I Testicular Cancer: Orchiectomy without Node Dissection

Ronald L. Stephens, MD; and Stephen K. Williamson, MD
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University of Kansas Medical Center, Kansas City, Kansas

Ann Intern Med. 1988;109(3):179-181. doi:10.7326/0003-4819-109-3-179
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Recently, eliminating retroperitoneal lymph node dissection has been considered for young men with clinical stage I nonseminomatous testicular cancer (1). The interest in avoiding this surgery is partially due to improved imaging techniques that allow physicians to verify more conclusively the absence of disease in this region of lymphatic drainage (true clinical stage I disease). In addition, high chemotherapeutic cure rates have been seen (2) in patients with advanced testis cancer.

Within the past 3 years or more several nonrandomized prospective trials have provided insight into the role of orchiectomy alone for clinical stage I nonseminomatous testicular cancer. This review


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