Jaskulsky S R, Javadpour N
Urology. 1986 May;27(5):407-9. doi: 10.1016/0090-4295(86)90403-6.
We report on a patient with a mixed germ cell testicular carcinoma in whom recurrence developed at the site of retained spermatic cord elements subsequent to retroperitoneal lymph node dissection. This site for recurrence can be prevented by total removal of the spermatic cord. Recurrence at this site often involves the peritoneum thus significantly reducing the survival rate. It is our policy to attach a long length of nonabsorbable suture marker material to the most proximal aspect of the spermatic cord when performing a radical inguinal orchiectomy. Such a marker facilitates the removal of the entire remaining cord if a retroperitoneal node dissection is performed.
我们报告了一例患有混合性生殖细胞睾丸癌的患者，该患者在腹膜后淋巴结清扫术后，残留精索部位出现复发。通过完全切除精索可预防该复发部位。此部位的复发常累及腹膜，从而显著降低生存率。我们的策略是在进行根治性腹股沟睾丸切除时，在精索最近端附着一段较长的不可吸收缝线标记材料。如果进行腹膜后淋巴结清扫，这样的标记有助于切除整个剩余精索。
