Vena cava resection during post chemotherapy lymphadenectomy for testis tumor.
Two patients underwent retroperitoneal lymphadenectomy after chemotherapy for non-seminomatous germ cell testis tumor. A dense desmoplastic tissue reaction between the infrarenal vena cava and perivascular lymphatic tissue prohibited removal of the nodal packet from the vena cava in both cases. We herein discuss two techniques for vena cava resection in these difficult cases.
Pantuck
A J
AJ
Division of Urology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08903, USA.
Barone
J G
JG
Cummings
K B
KB
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005355:Fibrosis; D018237:Germinoma / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D012187:Retroperitoneal Space; D013724:Teratoma / Q000188:drug therapy / Q000601:surgery; D013736:Testicular Neoplasms / Q000188:drug therapy / Q000601:surgery*; D000267:Tissue Adhesions / Q000601:surgery; D014654:Vascular Patency; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*