| Abstrakt: |
The distribution of 104 consecutive stage II (or B) nonseminomatous germinal cell testis tumor deposits in the retroperitoneal space has been analyzed and segregated into 11 anatomic zones of spread: 1) right para-caval, 2) right pre-caval, 3) inter aortocaval, 4) left pre-aortic, 5) left paraaortic, 6) right (renal) suprahilar, 7) left suprahilar, 8) right iliac, 9) left iliac, 10) inter iliac (pre-lumbosacral) and 11) gonadal vein. Each patient had no treatment after orchiectomy and before retroperitoneal lymph node dissection, that is no preoperative radiotherapy or chemotherapy, which may have influenced histologic analysis. Each patient had an extended bilateral retroperitoneal lymph node dissection, including both suprahilar zones. Tumor deposits in these 11 nodal zones were correlated with the side of the primary lesion (right versus left side) and the extent of metastatic disease (B1, B2 or B3). |
