Premium
Distribution of retroperitoneal lymph node metastases in testicular germinal tumors
Author(s) -
Ray Biswamay,
Hajdu Steven I.,
Whitmore Wlllet F.
Publication year - 1974
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197402)33:2<340::aid-cncr2820330207>3.0.co;2-y
Subject(s) - medicine , metastasis , retroperitoneal lymph node dissection , dissection (medical) , lymph node , lymphatic system , lymph , radiology , external iliac artery , surgery , pathology , cancer , testicular cancer , chemotherapy
A detailed analysis of the retroperitoneal lymph node metastases in 283 patients with testicular germinal tumors undergoing retroperitoneal lymph node dissection is presented, and ipsilateral and contralateral metastasis are defined. The primary lymphatic drainage (ipsilateral metastasis) from the right testis is to interaorto‐caval, precaval, pre‐aortic, paracaval, right common iliac, and right external iliac nodes, in that order; subsequent drainage (contralateral metastasis) is to the para‐aortic, left common iliac, and left external iliac nodes. The primary lymphatic drainage (ipsilateral metastasis) from the left testis is to the para‐aortic, pre‐aortic, left common iliac, and left external iliac nodes, in that order; subsequent drainage (contralateral metastasis) is to the interaorto‐caval, precaval, paracaval, right common iliac, and right external iliac nodes. With right‐sided tumors the metastases were to the ipsilateral nodes in 85%, to both ipsilateral and contralateral nodes in 13%, and to contralateral nodes only in 1.6%. With left sided tumors the ipsilateral nodes only were involved in 80%, and both ipsilateral and contralateral nodes in 20%. The presence of contralateral metastasis in the absence of ipsilateral metastasis was rare; none was observed with a left‐sided tumor and only one with a right‐sided tumor. In patients with resectable disease in the retroperitoneum, lymph node metastases outside the limits of a modified bilateral dissection were uncommon with right‐sided tumors, and observed not at all with left‐sided tumors.