Retroperitoneal Lymphadenectomy in the Management of Testis Cancer

Hendry, W. F.

doi:10.1007/978-1-4471-2086-5_16

Cited by 2 publications

(3 citation statements)

References 64 publications

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“…Most in 1898 was one of the first surgeons to note the extragonadal lymphatic spread of testicular cancer up to the paraaortic nodes near the renal hilum. 7 Surgeons then began performing techniques to treat these extragonadal metastasis. Some of the earliest reports of the RPLND were described by Frank Hinman in 1914.…”

Section: Historical Techniquementioning

confidence: 99%

Retroperitoneal lymph node dissection: the past, present, and future, a review

Patnaik¹,

Myrga²,

Vasan³

et al. 2023

Insight Urol

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Testicular cancer is a malignancy that impacts young men worldwide. The modern treatment of testicular cancer has evolved due to innovations in medical approaches and surgical techniques. The retroperitoneal lymph node dissection (RPLND) is an integral component in the treatment of testicular cancer. We aim to highlight the advances in surgical approaches and oncologic considerations noted over the past century. Once recognized as a highly morbid procedure, innovations in the understanding of anatomy and minimally invasive approaches have greatly improved patient outcomes. In addition to surgical approaches, we describe oncologic principles associated with modern dissection templates for both non-seminomatous germ cell tumors as well as more recent indications for surgery in seminomatous germ cell tumors. The overall goal of this review is to provide a summary in the utility and recent advances in RPLND techniques.

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Section: Historical Techniquementioning

confidence: 99%

Retroperitoneal lymph node dissection: the past, present, and future, a review

Patnaik¹,

Myrga²,

Vasan³

et al. 2023

Insight Urol

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“…“The difficulties inherent in treating patients once [cancer] relapse has occurred makes prevention a preferable alternative.”—Hendry (1994, p. 289).…”

Section: Overview Of the Issuementioning

confidence: 99%

“…Regarding testicular health, treatment standards of cancer, torsion, vasectomy, and scrotal masses are historically well established (see, e.g., Albers et al, 2005; Albers et al, 2011; Cornett & Dea, 2014; Hendry, 1994; Martin, 1991). Prevention and screening standards, however, remain ambiguous at best, specifically those referencing testicular self-examination (TSE).…”

Section: Current Standards For Treating Young Adult Malesmentioning

confidence: 99%

Recommendations for Treating Males: An Ethical Rationale for the Inclusion of Testicular Self-Examination (TSE) in a Standard of Care

et al. 2015

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The phrase "standard of care" is primarily a legal term representing what procedure a reasonable person (i.e., health practitioner) would administer to patients across similar circumstances. One major concern for health practitioners is delivering and advocating for treatments not defined as a standard of care. While providing such treatments may meet certain ethical imperatives, doing so may unwittingly trigger medical malpractice litigation fears from practitioners. Apprehension to deviate, even slightly, from the standard of care may (seem to) put the practitioner at significant risk for litigation, which, in turn, may limit options for treatment and preventive measures recommended by the practitioner. Specific to testicular treatment, certain guidelines exist for cancer, torsion, vasectomy, and scrotal masses, among others. As it relates to screening, practitioner examination is expected for patients presenting with testicular abnormalities. Testicular self-examination (TSE) advocacy, however, is discouraged by the U.S. Preventive Services Task Force, which may prompt a general unwillingness among health practitioners to promote the behavior. Considering the benefits TSE has beyond cancer detection, and the historical support it has received among health practitioners, it is paramount to consider the ethical implications of its official "exclusion" from preventive health and clinical care recommendations (i.e., standard of care). Since good ethics should lead practitioner patient care guidelines, not fear of increased malpractice risks, we recommend the development of a standard of care for counseling males to perform TSE.

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Retroperitoneal Lymphadenectomy in the Management of Testis Cancer

Cited by 2 publications

References 64 publications

Retroperitoneal lymph node dissection: the past, present, and future, a review

Retroperitoneal lymph node dissection: the past, present, and future, a review

Recommendations for Treating Males: An Ethical Rationale for the Inclusion of Testicular Self-Examination (TSE) in a Standard of Care

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