Review Article

Retroperitoneal Lymph Node Dissection as Primary Treatment for Metastatic Seminoma

Table 1

Series of RPLND as primary treatment for seminoma.

StudynStageType of RPLNDDiscordant stagingRecurrence rateFollow-up

Warszawski et al. [8]63I (n = 45)
IIA (n = 7)
IIB (n = 6)
IIC (n = 5)
Open24%
17.5% upstaged
6.3% downstaged
14%
Stage I: 7%
Stage IIA: 0%
Stage IIB: 67%
Stage IIC: 40%
79 mo
Mezvrishvili et al. [10]14I (n = 10)
IIA (n = 4)
Open, nerve sparing21% (all upstaged)0%56 mo
Hu et al. [11]4IIA (n = 3)
IIC (n = 1)
Open, midline extraperitoneal, nerve sparing50%
25% upstaged
25% downstaged
0%25 mo
Lusch et al. [13]11IIA and IIBOpen and robotic, nerve sparingNot described36%18 mo

Abstract.