title: [What about lombo-aortic curage in the treatment of testicle cancer?].
abstract: The indications and techniques of retroperitoneal lymphadenectomy in stage I non seminomatous germ cell tumours have markedly evolved over the past ten years. A literature review allows noticing that historical radical retroperitoneal dissection has been replaced by more limited techniques, known as nerve sparing and nerve preserving lymph node dissection. Stage I non seminomatous germ cell tumours are classified according to the risk of retroperitoneat lymph node involvement; they constitute three groups: low, intermediate and high risk tumours. Retroperitoneal lymph node dissection is considered for low risk patients in case of non compliance or difficult follow-up, and for intermediate risk patients (vascular invasion with presence of high percentage of teratomatous component).
authors.affiliation: Service d'urologie, CHU Lapeyronie, 34000 Montpellier, France. fibor@wanadoo.fr
authors.forename: F
authors.initials: F
authors.lastname: Iborra
authors.forename: C
authors.initials: C
authors.lastname: Avances
authors.forename: S
authors.initials: S
authors.lastname: Culine
authors.forename: A
authors.initials: A
authors.lastname: Houlgatte
authors.forename: N
authors.initials: N
authors.lastname: Mottete
mesh_terms: D003663:Decision Trees; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008297:Male; D009367:Neoplasm Staging; D012187:Retroperitoneal Space; D013736:Testicular Neoplasms / Q000473:pathology / Q000601:surgery*