[Treatment of patients with clinical stage IIB and IIC nonseminomas-- 15 years' personal experience].
The author evaluates the experience with treatment of patients with nonseminomas stage II B and II C treated at the Urological Clinic in Hradec Králové in 1975 to 1989. In a group of 55 patients initial chemotherapy was administered in 42, in 53 retroperitoneal lymphadenecomy was performed (95.3%), to 47 adjuvant chemotherapy was administered and 11 patients were irradiated. In 47 specimens collected during retroperitoneal lymphadenectomy for histological examination in 26 a vital tumour was detected, in one instance a mature teratoma and in 20 preparations necrosis of the tumour and fibrosis was revealed. The author who in the initial stage advocated surgical reduction of the tumourous mass later abandoned this concept after introduction of cisplatinum into combined chemotherapy and now he uses on principle initial chemotherapy followed by revision of retroperitoneal nodes.
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Urologická klinika FN, Hradec Králové.
D017024:Chemotherapy, Adjuvant; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D013736:Testicular Neoplasms / Q000473:pathology / Q000628:therapy*
Lécba nemocných s neseminomy v II. B a II. C klinickém stádiu--vlastní zkusenosti za 15 let.