Late pelvic recurrence of nonseminomatous testicular carcinoma after negative retroperitoneal lymph node dissection.

P. G. Borboroglu, Christopher Amling, J. L. Roberts

Research output: Contribution to journalArticle

Abstract

We report a case of pathologic Stage I teratoma recurring in the pelvis as embryonal carcinoma 12 years after radical orchiectomy and bilateral retroperitoneal lymph node dissection (RPLND). The patient received three cycles of chemotherapy (cisplatin, etoposide, bleomycin) followed by complete surgical excision of the pelvic mass. Successful treatment of these rare late recurrences usually requires chemotherapy and complete surgical excision. Pelvic relapse may potentially result from incomplete iliac node resection at the time of RPLND, altered lymphatic drainage from an incompletely resected spermatic cord, or a second primary extragonadal tumor focus. Our case emphasizes the importance of meticulous surgical technique during RPLND and the necessity for follow-up beyond 5 years in patients with testicular cancer.

Original languageEnglish (US)
Pages (from-to)924
Number of pages1
JournalUrology
Volume54
Issue number5
StatePublished - Nov 1999
Externally publishedYes

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Lymph Node Excision
Carcinoma
Recurrence
Embryonal Carcinoma
Spermatic Cord
Drug Therapy
Orchiectomy
Teratoma
Bleomycin
Testicular Neoplasms
Etoposide
Pelvis
Cisplatin
Drainage
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Late pelvic recurrence of nonseminomatous testicular carcinoma after negative retroperitoneal lymph node dissection. / Borboroglu, P. G.; Amling, Christopher; Roberts, J. L.

In: Urology, Vol. 54, No. 5, 11.1999, p. 924.

Research output: Contribution to journalArticle

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