Resumo

GUTIERREZ-GONGORA, Jaime; ORLICH-CASTELAN, Claudio  e  GRUNHAUS-ZEIKOWICZ, Arieh. La linfadenectomía retroperitoneal para el cáncer testicular. Acta méd. costarric [online]. 2001, vol.43, n.1, pp.32-35. ISSN 0001-6002.

The purpose of this study is lo report the rationale behind the use of retroperitoneal node dissection in patients with a non seminomatous germ cell carcinoma of the testis clinical stages A(I) andB(II) in the Urology Department of the San Juan de Dios Hospital. We present the scientific basis for this practice and provide a short summary of the staging and surgical procedure. Historically patients diagnosed with stage B(II) have been treated with primary dissection of the retroperitoneal lymph nodes with an option of adyuvant chemoterapy. Recently, various authors have chosen chemoterapy as the primary treatment while retroperitoneal lymphadenectomy is reserved for patients who do not achieve a complete remission after chemoterapy. The Department of Urology at the San Juan de Dios Hospital routinely performs a retroperitoneal lymph node dissection for patients with a non serninomatous germ cell carcinoma of the testis stages A and B (I and II).