Review Article
Retroperitoneal Lymph Node Dissection as Primary Treatment for Metastatic Seminoma
Table 1
Series of RPLND as primary treatment for seminoma.
| Study | n | Stage | Type of RPLND | Discordant staging | Recurrence rate | Follow-up |
| Warszawski et al. [8] | 63 | I (n = 45) IIA (n = 7) IIB (n = 6) IIC (n = 5) | Open | 24% 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] | 14 | I (n = 10) IIA (n = 4) | Open, nerve sparing | 21% (all upstaged) | 0% | 56 mo | Hu et al. [11] | 4 | IIA (n = 3) IIC (n = 1) | Open, midline extraperitoneal, nerve sparing | 50% 25% upstaged 25% downstaged | 0% | 25 mo | Lusch et al. [13] | 11 | IIA and IIB | Open and robotic, nerve sparing | Not described | 36% | 18 mo |
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