title: Desperation Postchemotherapy Retroperitoneal Lymph Node Dissection for Metastatic Germ Cell Tumors.
abstract: Patients with persistently elevated serum tumor markers should be monitored for marker kinetics and evaluated for nonviable cancer causes of marker elevation. Desperation postchemotherapy retroperitoneal lymph node dissection is performed in select patients following second-line chemotherapy. Adjuvant postoperative chemotherapy is not indicated in patients following second-line chemotherapy.
authors.affiliation: Department of Surgery, Division of Urology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA. Electronic address: carverb@mskcc.org.
authors.forename: Brett S
authors.initials: BS
authors.lastname: Carver
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols; D014408:Biomarkers, Tumor / Q000097:blood*; D003131:Combined Modality Therapy / Q000379:methods; D006801:Humans; D060828:Induction Chemotherapy / Q000009:adverse effects / Q000379:methods; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009367:Neoplasm Staging; D009373:Neoplasms, Germ Cell and Embryonal / Q000097:blood / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D017063:Outcome Assessment, Health Care; D018579:Patient Selection; D010818:Practice Patterns, Physicians'; D012187:Retroperitoneal Space / Q000473:pathology / Q000601:surgery; D013736:Testicular Neoplasms / Q000097:blood / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D013997:Time Factors
chemical_list: D014408:Biomarkers, Tumor
keywords: Germ cell tumors; Postchemotherapy; Retroperitoneal lymph node dissection; Serum tumor markers