Posterior retroperitoneoscopic resection of recurrent nonseminomatous tumor mass

Autor: Patrick H. J. Hemmer, Çiğdem Öztürk, Schelto Kruijff, Harald J. Hoekstra, Jourik A. Gietema
Přispěvatelé: Guided Treatment in Optimal Selected Cancer Patients (GUTS), Damage and Repair in Cancer Development and Cancer Treatment (DARE)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Surgical Case Reports
Journal of surgical case reports, 2020(7), 1-4. Oxford University Press
ISSN: 2042-8812
DOI: 10.1093/jscr/rjaa122
Popis: Treatment of stage II–IV nonseminomatous testicular germ cell tumors (NSTGCTs) consists of cisplatin-based combination chemotherapy and, when present, resection of residual retroperitoneal tumor mass (RRTM) by conventional laparotomy or laparoscopy. In case of a retroperitoneal recurrence, a second conventional or laparoscopic procedure may be challenging. A case of late relapse after prior conventional resection of a RRTM and tailor-made surgical management with a posterior retroperitoneoscopic resection (PRR) is reported. A posterior retroperitoneoscopic RRTM resection was performed in a 26-year-old male with a history of stage IIC NSTGCT, presenting with a late left-sided retroperitoneal relapse, 6 years after initial treatment. Postoperative course was uneventful and at 1-year follow-up the patient had no evidence of disease. Reoperative surgery by a minimal invasive retroperitoneoscopic approach should be considered as an alternative for patients with a recurrent retroperitoneal tumor mass of a NSTGCT.
Databáze: OpenAIRE
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