title: The case for conservative surgical management of the ilioinguinal region after inadequate orchiectomy.
abstract: We describe 16 patients who underwent conservative surgical treatment of the ilioinguinal region after transscrotal orchiectomy had demonstrated a non-seminomatous germ cell tumor. Treatment consisted of an en bloc partial scrotectomy and removal of the remaining spermatic cord, usually through 2 incisions. Residual disease was present in 3 patients (19%) but malignant disease has not recurred in any. It is concluded that an inguinal lymphadenectomy is not warranted routinely in such patients.
mesh_terms: D000293:Adolescent; D000328:Adult; D004407:Dysgerminoma / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008722:Methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D012611:Scrotum / Q000601:surgery; D013085:Spermatic Cord / Q000601:surgery; D013736:Testicular Neoplasms / Q000601:surgery*