Children, adolescents and young adults with testicular germ cell tumors require appropriate surgical care to insure excellent outcomes. This article presents the most critical elements, and their basis in evidence, for surgery in this population. Specifically, the importance of inguinal radical orchiectomy for malignant tumors, partial orchiectomy for prepubertal tumors and normal serum tumor markers, and the appropriate use of post-chemotherapy retroperitoneal lymph node dissection in those with residual retroperitoneal masses.
Seminars in pediatric surgery. 2023 Nov 17 [Epub ahead of print]
Amanda F Saltzman, Patrick Hensley, Jonathan Ross, Lynn Woo, Deborah Billmire, Frederick Rescorla, Dhruv Puri, Sunil Patel, Phillip Pierorazio, Aditya Bagrodia, Clint Cary, Nicholas G Cost
Department of Urology, University of Kentucky, Lexington, KY, USA., Department of Urology, Rush University, Chicago, IL, USA., Department of Urology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA., Department of Pediatric Surgery, Indiana University School of Medicine and Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA., Department of Urology, University of California San Diego, La Jolla, CA, USA., Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA., Department of Urology, Penn Medicine, Philadelphia, PA, USA., Department of Urology, Indiana University, Indianapolis, IN, USA., Division of Urology, Department of Surgery at the University of Colorado School of Medicine, Aurora, CO, USA; The Surgical Oncology Program, Children's Hospital Colorado, Aurora, CO, USA. Electronic address: .