1987 Volume 78 Issue 6 Pages 1060-1064
Eighteen patients with clinical stage I nonseminomatous testicular germ cell tumors were evaluated. All patients underwent retroperitoneal lymphadenectomy. Of them 6 patients were confirmed to have surgical stage IIA disease because of involvement of retroperitoneal lymphnodes. Although recurrence was observed in three patients, no tumors developed in the areas which had been cleaned by lymphadenectomy. 3-year survival rates were 92% and 100%, respectively, in surgical stage I and IIA (N. S.). Elevated tumor markers, serum AFP and urinary HCG before orchiectomy did not affect the risk for retroperitoneal metastases and survivals. In patients with clinical stage I disease, the presence of embryonal carcinoma in the primary tumors indicated an increased risk for retroperitoneal metastases (0.05<p<0.10).
