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Časopis Clinical urology – Článok Outcomes of retroperitoneal lymph node dissection in patients with metastatic nonseminomatous germ cell cancer of testis

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: 

Outcomes of retroperitoneal lymph node dissection in patients with metastatic nonseminomatous germ cell cancer of testis

Ondřej Havránek1, Jan Krhut1, Jaroslav Hájek2, Jozef Kopecký1, David Feltl2

Objective: To evaluate oncological results and functional results of modified retroperitoneal lymhadenectomy with resection limited to enlarged residual lymph nodes in patients after chemotherapy for metastatic nonseminomatous germinal cell testicular cancer. Material and methods: We made a retrospective study in 14 patients undergoing retroperitoneal lymphadenectomy for residual tumour in the retroperitoneum after chemotherapy for nonseminomatous testicular cancer between 2000-2006. Average age was 33.4 years, average follow up after surgery 56 months. Eight patients (57.1 %) were treated by 3-4 cycles of the first line chemotherapy (CHT) and 6 patients underwent surgery after next 2-5 cycles of the second line CHT. The extend of surgery was limited to macroscopically enlarged lipolymphatic tissue. Results: Histology showed necrosis in 11 cases (78.6 %) and viable carcinoma in 3 cases (21.4 %). Ten patients with negative histology were observed. One patient with positive histology was treated by radiotherapy and 2 patients with positive histology received adjuvant CHT. All patients have preserved ejaculation after surgery. All of the patients are surviving without progression of the disease. Conclusion: Both classical bilateral and modified retroperitoneal lymphadenectomy in patients after CHT for nonseminomatous testicular cancer is a procedure with high risk of peri- and postoperative morbidity. Modified procedure with resection of enlarged residual lymph node only may reduce the risk of postoperative morbidity. Especially it can preserve the physiological ejaculation. The oncological outcomes were similar with procedures with standard extend of lymphadenectomy.

carcinoma of testis, lymphadenectomy, chemotherapy
Klin. urol. 2011; 7 (2-3): 64-67

Ročník 2011  Témy časopisu Clinical urology 2 / 2011

Martina Ondrušová1, Ján Kliment2, Dalibor Ondruš3
Ján Kliment ml., Boris Eliáš, Ján Ľupták, Ján Švihra, Karol Kajo1, Kamil Javorka, Igor Sopilko, Martin Jonáš, Ján Kliment st.
Ondřej Havránek1, Jan Krhut1, Jaroslav Hájek2, Jozef Kopecký1, David Feltl2
Martin Fabišovský1, Henryk Fikoczek2, Jana Dvořáčková3, Jan Krhut1

Overview works

David Míka, Jan Krhut
Ján Kliment

Case Studies

Ľubomír Lachváč, Ľubomír Špak*, Ladislav Valanský, Vincent Nagy
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CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ján Kliment, CSc.

MEMBERS OF THE EDITORIAL BOARD
prof. Andrzej Borówka, M.D., PhD.
prof. MUDr. Ján Breza, DrSc.
prof. MUDr. Peter Bujdák, PhD.
prof. MUDr. Tomáš Hanuš, DrSc.
doc. MUDr. Ladislav Jarolím, CSc.
doc. MUDr. Ján Ľupták, PhD.
doc. MUDr. Jozef Marenčák, PhD.
doc. MUDr. Ivan Minčík, PhD.
prof. MUDr. Dalibor Ondruš, DrSc.
prof. Imre Romics, M.D., PhD.
doc. MUDr. Vladimír Študent, PhD.
prof. MUDr. Ján Švihra, PhD.
prof. MUDr. Ladislav Valanský, PhD.
doc. MUDr. František Záťura, PhD.
MUDr. Peter Zvara, PhD.

PROFESSIONAL EDITOR
prof. MUDr. Ján Švihra, PhD.

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Ing. Danica Paulenová
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Examples of citations:
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2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285: 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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Which of following factors is not related to rosacea?
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b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

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Send contributions in the e-mail to the address: paulenova@amedi.sk
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné