Guillemin François, Belinga Jean-François Betala, Marchal Frédéric, Rauch Philippe, Verhaeghe Jean-Luc
Département de chirurgie, Centre Alexis-Vautrin, Vandoeuvre-lès-Nancy, France.
Bull Cancer. 2011 Jan;98(1):43-51. doi: 10.1684/bdc.2010.1288.
Thirty-six cases of retroperitoneal lymph node dissections for residual mass after chemotherapy for testicular cancer are reported. In a reference center, the recruitment is modified by the severity of the situations related to very big masses, tumors of poor prognosis and resistant tumors. Lymph node dissection is often atypical and surgery of metastatic residual masses is frequent (13 operations). The 8-year global survival remains stable, over 90%. The 5-year cumulated risk of recurrence is 20%, but these situations can be overtaken.
本文报告了36例睾丸癌化疗后残留肿块行腹膜后淋巴结清扫术的病例。在一个参考中心，由于与巨大肿块、预后不良肿瘤和耐药肿瘤相关情况的严重程度，招募情况有所改变。淋巴结清扫术通常不典型，转移性残留肿块的手术很常见（13例手术）。8年总生存率保持稳定，超过90%。5年累积复发风险为20%，但这些情况是可以克服的。
