Nonseminomatous testicular tumor Comparison of treatment

The survival rate of patients with nonseminomatous germinal testicular tumor, havingnegative or positive retroperitoneal nodes at the time of primary diagnosis and treatment (Stages A and B), depends more on the surgical procedure used than the histologic type of tumor or number of positive nodes. Bilateral lymphadenectomy alone appeared to affect the survival rate more favorably, without the addition of radiotherapy (especially in tumors with primary Stage A) as shown by the comparison of survival rate and recurrence of tumor. However, recurrence did appear following node dissection in a significant number of patients with positive or negative nodes on dissection and affected the survival rates. Dissemination of testicular tumors is chiefly via the lymph nodes and lungs, Since this series was nonrandomized, a final conclusion on the role and type of radiotherapy and other adjuvant measures in the management of nonseminomatous testicular tumor cannot be presently concluded. Our results suggest surgical treatment alone may prove more favorable.