Surgical treatment of parenchymal metastases of germinal testicular tumors
Jaeger, N.; Weissbach, L.; Kliems, G.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 54(12): 795-800
1983
ISSN/ISBN: 0009-4722 PMID: 6661965 Document Number: 209656
This report concerns 18 patients with germinal testicular tumors in whom the resection of pulmonary metastases was indicated following resection of the primary tumor and combined cytostatic therapy. Nine patients underwent a retroperitoneal lymphadenectomy immediately after semi-castration. Upon follow-up examination, circular pulmonary foci were visualized by conventional films or computerized tomography. These patients developed pulmonary metastases on the average 8 months after the first operation (semi-castration and lymphadenectomy). Since 1978, a combined cytostatic treatment has preceded the lymphadenectomy and resection of parenchymal metastases. No evidence of disease (NED) could be achieved in 9 patients by resection of pulmonary metastases, with an average follow-up period of 30 months. The results in surgery of metastases are judged as the more advantageous, the longer the free interval is between initial disease onset and the occurrence of metastases.