Abstract

Primary chemotherapy and postchemotherapeutic salvage surgery for residual tumors were definite strategies for progressive testicular cancer. To resect multiple metastatic lesions, the one-stage operation consisted of retroperitoneal lymphnode dissection, thoracotomy, sternotomy or cervical dissection was performed by the staffs of urological and surgical units. Although the operation took a rather long time, no definite complications did not occur.The metastatic lesions were able to be resected completely in all cases.Recurrence occured in 2 patients with pure teratoma and another salvage surgery was performed to them. As a current status, three patients have no evidence of disease and one have no radiographical abnormality with a slight elevation of β-hCG level. We concluded that the one-stage operation for multiple lesions was well tolerable and was beneficial for the management of progressive testicular cancer.

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