The clinical implications of procedural deviations during orchiectomy for nonseminomatous testis cancer

J Urol. 1995 Sep;154(3):935-9.

Abstract

Purpose: The clinical implications of procedural deviations during orchiectomy for nonseminomatous testis cancer were evaluated.

Materials and methods: A retrospective review was done of 78 of 1,708 patients (4.6%) with nonseminomatous testis cancer who presented to our university following scrotal violation.

Results: A total of 56 patients (71.8%) underwent hemi-scrotectomy as part of treatment. A tumor was found in 6 of 56 hemi-scrotectomy specimens (10.7%) and 3 showed local recurrence. Of the 78 patients 5 (6.4%) had local recurrence, while 1 of 30 (3.3%) with scrotal specimens negative for tumor had recurrence in the groin. No patient treated by chemotherapy had local recurrence.

Conclusions: Scrotal violation was associated with an increased risk for local recurrence mainly when a residual tumor in the scrotectomy specimen was found. The role of hemi-scrotectomy to avoid of local or systemic relapse is debatable.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Orchiectomy / methods*
  • Retrospective Studies
  • Scrotum / pathology
  • Scrotum / surgery*
  • Testicular Neoplasms / surgery*
  • Treatment Outcome