To evaluate the usefulness of removing lymph nodes located above the renal vessels in men with nonseminomatous testicular cancer we have: (1) reviewed the anatomy of the testicular lymphatic drainage; (2) analyzed data on 30 suprahilar lymph node dissections, and (3) reviewed 19 CT scans on patients with testicular cancer. Because the primary lymphatic drainage of the testis is not to suprahilar nodes, in the absence of bulky disease these lymph nodes rarely contain metastatic disease. Furthermore, because most suprahilar lymph nodes are located behind the aorta in between the crura of the diaphragm these lymph nodes are difficult, if not impossible, to resect. Thus, in patients without lymph node enlargement, suprahilar extension of routine lymphadenectomies is not recommended.

Keywords:
Retroperitoneal lymphadenectomy, Testicular tumor, CT scan, Lymphatic drainage
This content is only available via PDF.
© 1981 S. Karger AG, Basel
1981
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.