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Published in: Current Oncology Reports 4/2024

Open Access 02-03-2024 | Testicular Cancer | REVIEW

Lymph Node Dissection in Testicular Cancer: The State of the Art and Future Perspectives

Authors: Bartosz Małkiewicz, Gabriela Świrkosz, Wojciech Lewandowski, Katarzyna Demska, Zuzanna Szczepaniak, Jakub Karwacki, Wojciech Krajewski, Tomasz Szydełko

Published in: Current Oncology Reports | Issue 4/2024

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Abstract

Purpose of Review

This narrative review provides a comprehensive overview of the evolving role of retroperitoneal lymph node dissection (RPLND) in the management of testicular cancer (TC). It explores the significance of RPLND as both a diagnostic and therapeutic tool, highlighting its contribution to accurate staging, its impact on oncological outcomes, and its influence on subsequent treatment decisions.

Recent Findings

RPLND serves as an essential diagnostic procedure, aiding in the precise assessment of lymph node involvement and guiding personalized treatment strategies. It has demonstrated therapeutic value, particularly in patients with specific risk factors and disease stages, contributing to improved oncological outcomes and survival rates. Recent studies have emphasized the importance of meticulous patient selection and nerve-sparing techniques to mitigate complications while optimizing outcomes. Additionally, modern imaging and surgical approaches have expanded the potential applications of RPLND.

Summary

In the context of TC management, RPLND remains a valuable and evolving tool. Its dual role in staging and therapy underscores its relevance in contemporary urological practice. This review highlights the critical role of RPLND in enhancing patient care and shaping treatment strategies, emphasizing the need for further research to refine patient selection and surgical techniques.
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Metadata
Title
Lymph Node Dissection in Testicular Cancer: The State of the Art and Future Perspectives
Authors
Bartosz Małkiewicz
Gabriela Świrkosz
Wojciech Lewandowski
Katarzyna Demska
Zuzanna Szczepaniak
Jakub Karwacki
Wojciech Krajewski
Tomasz Szydełko
Publication date
02-03-2024
Publisher
Springer US
Published in
Current Oncology Reports / Issue 4/2024
Print ISSN: 1523-3790
Electronic ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-024-01511-y

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