Tratamento Cirúrgico dos Tumores Germinativos do Testículo
DOI:
https://doi.org/10.32635/2176-9745.RBC.1987v33n4.3221Palabras clave:
Tumores Germinativos de Testículo, Orquiectomia, Linfadenectomia RetropentonealResumen
Os autores discutem, no presente trabalho, o papel da cirurgia dentro da estratégia global de tratamento dos pacientes com tumores germinativos do testículo. Desta forma, são abordados o tratamento da lesão pnmária e dos casos de violação tumoral, a importância da cirurgia nos estádios avançados dos pacientes com seminomas e tumores não-seminomatosos e as indicações para a realização de linfadenectomia retroperitoneal em estádios iniciais dos casos de tumores não-seminomatosos. Finalizam o trabalho discutindo aspectos técnicos da cirurgia neste grupo de pacientes.
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Batata MA, Unal A - The role of radiation threrapy in relation to stage and histology of testicular cancer. Sem Oncol, 1979; 6. 69.
Boderr D, Gibb R - Radiotherapy and testicular neoplasms. Lancet, 1951; 2.1195 DOI: https://doi.org/10.1016/S0140-6736(51)93202-3
Brackem A B, Smitb KO Is semen cryopreservation helpful in testicular cancer? Urology, 1980; 15 581, DOI: https://doi.org/10.1016/0090-4295(80)90371-4
Bredael JJ, Vugnn O, Whitmore Jr WF - Autopsy findings in 154 palients with germ cell tumors of the testis Cancer, 1982; 50: 548. DOI: https://doi.org/10.1002/1097-0142(19820801)50:3<548::AID-CNCR2820500327>3.0.CO;2-2
Caldwell WL, Kademiari MT, Frias Z, Davis TE The management of testicular seminomas, 1979. Cancer, 1980, 45. 1768. DOI: https://doi.org/10.1002/cncr.1980.45.s7.1768
Carrol PR, Whitrrrore WF Jr, Herr HW, Morse MJ, Sogani PC, Batorunas D, Fair WR, Chaganti ASK - Endocrine and exocrine profiles of men with testicular tumors before orchrectomy. J Urol, 1987; 137. 420, DOI: https://doi.org/10.1016/S0022-5347(17)44054-7
Chong C, Logothetis Ci, Von Eschenbach A, Ayaia A, Samuels M - Orchiectomy in advanced germ celi cancer fotowing intensive cbemotherapy: a comparison of systemic to testicular response .1 Urol, 1986; 136 1221. DOI: https://doi.org/10.1016/S0022-5347(17)45290-6
Cooper JF, Leadbetter WF, Chute A -- The thoracoabdominal approach for retroperitoneal gland dissection: its application to testes tumors Surg Gyn obst, 1950; 90: 486
Dean AL Jr, - The treatment of teratoid tumors of the testis with radium and the x-ray. J Urol, 1925, 13: 149 DOI: https://doi.org/10.1016/S0022-5347(17)73557-4
De Brujjn HWA, Sleijfer Dl, Koops HS, Suurmerjer AJH, Marrink J, Ockhuizen T .- Significance of human chorionic gonadotropin, alpha-fetoprotein and pregnancy-specifrc beta-1-glycoprotein in the detection of tumor relapsa and partial remission in 126 patients with nonseminomalous testicular germ cell tumors. Cancer, 1985; 55. 829. DOI: https://doi.org/10.1002/1097-0142(19850215)55:4<829::AID-CNCR2820550420>3.0.CO;2-A
Dorrohue JP - Retroperitoneal lymphadenectomy. Urol Chn North Arrr, 1977; 4. 509. DOI: https://doi.org/10.1016/S0094-0143(21)01182-4
Donohue JP, Einhorn LH, Perez JM - lmproved managemenl ei nonseminomabus testis tumors. Cancer, 1978; 42. 2903. DOI: https://doi.org/10.1002/1097-0142(197812)42:6<2903::AID-CNCR2820420653>3.0.CO;2-K
Donohue JP, Einhorn LH, Williams SD is adjuvart chemolherapy following retroperitoneal lympb node dissection for nonsemlnomatous testis cancer necessary? Urol Clin North Am, 1980; 7: 747. DOI: https://doi.org/10.1016/S0094-0143(21)00165-8
Donohue JP, Maynard 8, Zachary JM - The distributron of nodal rnetashases in the relroperiteneum from ronseminomateus testis cancer. J Urol, 1982, 128. 315 DOI: https://doi.org/10.1016/S0022-5347(17)52904-3
Donohue JP, Roth LM, Zachary JM, Rowland RG, Einhorn LH, Williams SG - Cytoreduchive surgery for rnetastatic testis cancer: tissue analysis of retroperitoneal tumor masses after chemohherapy. J Urol, 1982, 127: 1111. DOI: https://doi.org/10.1016/S0022-5347(17)54256-1
Elnhorn LH, Donohue JP - Cis-diamminedicbloroplatinum, vinblastine and bleomycin combination chemotherapy in disseminated testicular cancer. Ann ml Med, 1977, 87: 293. DOI: https://doi.org/10.7326/0003-4819-87-3-293
Elnhorn LH, Williams SD - Chemotherapy of disseminated testicular cancer. A randon prespechive study. Cancer, 1980; 46 1339. DOI: https://doi.org/10.1002/1097-0142(19800915)46:6<1339::AID-CNCR2820460607>3.0.CO;2-J
Silis M, Sikora K - The current managemenl of testicular cancer. Br JUrol, 1987, 59. 2 DOI: https://doi.org/10.1111/j.1464-410X.1987.tb04569.x
Ewing A, Hetherington JW, Jones WG, Williams RE - Surgioal salvage of advanced testicular tumours. Br J Urol, 1987, 59 76. DOI: https://doi.org/10.1111/j.1464-410X.1987.tb04585.x
Fossa SD, Abyholm T, Normann N, Jetne V - Post-hreahment fertility in patients with testicular cancer. Br J Urol, 1986; 58. 315. DOI: https://doi.org/10.1111/j.1464-410X.1986.tb09062.x
Fraley EE, Lange PH, Kennedy BJ Germ-cell testicular cancer in adults (part I). New Engi J Mcd, 1979; 301: 1370. DOI: https://doi.org/10.1056/NEJM197912203012504
Fraley EE, Lange PH, Kennedy BJ - Germ-celi testicular cancer in adults (part Ii). New Engi 3 Med, 1979; 301: 1420. DOI: https://doi.org/10.1056/NEJM197912273012604
Fraley EE, Markland C, Lange PH - Surgical treatment of stage 1 and stage II non-seminomatous testicular cancer in adults. Urol Clin North Am, 1977; 4: 453. DOI: https://doi.org/10.1016/S0094-0143(21)01178-2
Friedman EL, Garnick MB, Stomper PC, Mauch PM, Harrington DP, Richie JP - Therapeutic guidelines and results in advanced seminoma. J Clin Oncol, 1985; 3: 1325. DOI: https://doi.org/10.1200/JCO.1985.3.10.1325
Garnick MB, Ganchos GP, Richie JP - Trealment and surgical staging of testicular and primary extragonadal germ ccli cancer. JAMA, 1983; 250: 1733 DOI: https://doi.org/10.1001/jama.1983.03340130051032
Geiderman WAH, Schraffordt H, Sieijfer DT, Oeslerhuis JW, Marrmnk J, Bruijn HWA, Oidhoff J - Orchidectomy alone in stage I nonseminomatous testicular germ cell tumors. Cancer, 1987; 59: 578. DOI: https://doi.org/10.1002/1097-0142(19870201)59:3<578::AID-CNCR2820590337>3.0.CO;2-J
Goidiner PL, Schweizer O - The hazards of anesthesia and surgery in bieomycin treated palients. Sem Oncol, 1979; 6: 121.
Hendry WF, Goidstraw P, Peckmam MJ - The role of surgery in lhe combined management of metastases from malignant teratomas of leslis. Br J Urol, 19871 59 358, DOI: https://doi.org/10.1111/j.1464-410X.1987.tb04649.x
Hussey DH, Luk KH, Johnson DE - The role of radiation therapy in the treatment of germinal cell tumors of lhe testis older than pure seminoma. Radiology, 1977; 123: 175. DOI: https://doi.org/10.1148/123.1.175
Javadpour N - The value of biologic markers in diagnosis and treatment of testicular cancer. Sem Oncol, 1979; 6: 37,
Javadpour N - Management of seminoma based on tumor markers. Urol Clin North Am, 1980, 7.773. DOI: https://doi.org/10.1016/S0094-0143(21)00168-3
Javadpour N, Young JD ir. Prognoslic factors in nonseminomalous testicular cancer, J Urol 1986, 125. 497. DOI: https://doi.org/10.1016/S0022-5347(17)45705-3
Johnson DE, Lo 8K, Von Eschenbach AC, Swanson DA - Surveilance alone for patients with clinical stage I nonseminomatous germ cell tumors of lhe testis preliminary results. J Urol, 1984; 131: 491. DOI: https://doi.org/10.1016/S0022-5347(17)50461-9
Kedia KR, Markiand C, Fraley EE - Sexual function after high retroperitoneal lymphadenectomy. Urol Chn North Am, 1977; 4: 523. DOI: https://doi.org/10.1016/S0094-0143(21)01183-6
Kennedy CL, Hendry WF, Peckham MJ - The significance of scrotal interference in stage I testicular cancer managed by orchieclomy and surveiiiance. Br J Urol, 1986, 58 705. DOI: https://doi.org/10.1111/j.1464-410X.1986.tb05917.x
Klein FA, Whitmore WF Jr, Sogani PC, Batata M, Fisher H, Herr HW – Inguinal lymph node melaslases from germ cell testicular tumors. J Urol, 1984, 131497. DOI: https://doi.org/10.1016/S0022-5347(17)50465-6
Lindsey CM, Glenn JF - Germinal malignancies of lhe testes' experience, management and prognosis. J Urol, 1976; 116: 59. DOI: https://doi.org/10.1016/S0022-5347(17)58675-9
Loehrer PJ Sr, Hui S, Clark S, Seal M, Einhorn LH, Wifliams SD, Ulbrighl T, Mandelbaum I, Rowland R, Donohue JP - Teratoma fotowing cispiatin based combination chemotherapy for nonseminomatous germ cell tumors: a clinicopathological correlation. J Urol, 19861 135: 1183. DOI: https://doi.org/10.1016/S0022-5347(17)46031-9
Maillis N, Palton JF - Transperiloncal bilateral lymphadenectomyin testes tumors J Urol. 1958,80: 501. DOI: https://doi.org/10.1016/S0022-5347(17)66213-X
Markiand C - Special problems in managing patients with testicular cancer. Urol Cân North Am, 1977; 4:427 DOI: https://doi.org/10.1016/S0094-0143(21)01177-0
Mcssing EM, Love RR, Kvois LK - Lymphoccle after retroperitoneai node dissection for testis tumor. Cancer, 1986; 57: 871. DOI: https://doi.org/10.1002/1097-0142(19860215)57:4<871::AID-CNCR2820570431>3.0.CO;2-C
Moriyama N, Daly ii, Kraling MA, Lin CW, P,roul GR - Vascular invasion as a prognosticator of metastatic disease in nonseminomalouS germ ccli tumors of lhe leslis. Cancer, 1985, 56: 2492 DOI: https://doi.org/10.1002/1097-0142(19851115)56:10<2492::AID-CNCR2820561027>3.0.CO;2-R
Nilman JM, Jager 5, Boer PW, Kremer J, Oldhoff J, Koops HS - The treatment of ejaculation disorders after retroperitoneal lymph node dissection. Cancer, 1982; 50: 2967. DOI: https://doi.org/10.1002/1097-0142(19821215)50:12<2967::AID-CNCR2820501245>3.0.CO;2-Y
Oliver RTD, Hope-Stone HF, Blandy JP - Justification of lhe use of surveiliance in the management of stage I germ cell tumours of the testis Br J Urol, 1983; 55: 760. DOI: https://doi.org/10.1111/j.1464-410X.1983.tb03421.x
Oliver RTD, Blandy JP, Hendry WF, Pryor JP, Williams JP, Hope-Slone HF - Evaluation of radiotherapy andbr surgicopathological staging after chemotherapy in the management of metastatic germ cell tumours. Br J Urol, 1983; 55: 764. DOI: https://doi.org/10.1111/j.1464-410X.1983.tb03422.x
O'Neili TJ, Kardinai CG, Tierney LM - Reversible intersticial pneumonitis associated with low dose bleomycin. Chesl, 1975, 68: 265. DOI: https://doi.org/10.1378/chest.68.2.265
Peckham MJ, Barrell A, Horwich A, Hendry WF - Orchieclomy alone for stage I testicular non-seminoma. Br 3 Urol, 1983; 55: 754. DOI: https://doi.org/10.1111/j.1464-410X.1983.tb03420.x
Peckham MJ, Husband 3 E, Barrett A, Hendry WF - Orchideclomy alone in testicular stage I nonseminomalous germ-cell tumours. LanceI, 1982; 2: 678. DOI: https://doi.org/10.1016/S0140-6736(82)90710-3
Pizzocaro G, Saivioni R, Zanoni F - Unilateral lymphadeneclomy in intraoperative stage I nonseminomalous germinal testis cancer, 3 Urol, 1985, 134. 485. DOI: https://doi.org/10.1016/S0022-5347(17)47252-1
Pizzocaro G, Zanoni F, Milani A, Piva L, Salvioni B, Pasi M, Pilolti 5, Monfordini S - Retroperitoneal lymphadeneclomy and aggressive chemotherapy in non bulky clinical stage E nonseminomalous germinal leslis lumors. Cancer, 1984; 53: 1363. DOI: https://doi.org/10.1002/1097-0142(19840315)53:6<1363::AID-CNCR2820530624>3.0.CO;2-I
Raghavan D, Vogclzsng Ni, Bosi Gi, Nochomovilz LE, Rosai J, Lange PH, Fraley EE, Goldman A, Torkelson i, Kennedy BJ - Tumor classification and size in germ-cell testicular cancer. lnfiuence on the occurrence mclaslases. Cancer, 1982; 50: 1591. DOI: https://doi.org/10.1002/1097-0142(19821015)50:8<1591::AID-CNCR2820500821>3.0.CO;2-5
Ray B, Hadju Si, Whillmore WF Jr - Distribulion of retroperiloneal lymph node metastases in testicular germinal tumors. Cancer, 1974, 33. 340. DOI: https://doi.org/10.1002/1097-0142(197402)33:2<340::AID-CNCR2820330207>3.0.CO;2-Y
Scardino PT, Skinner DG - Germ cdl tumors of lhe testis: improved results in a prospective study using combirred modalily therapy and biochemical tumor markers. Surgery, 1979; 86: 86.
Silverberg E, Lubera J - Cancer slalislics, 1987 Ca A Cancer i, 19871 37: 2. DOI: https://doi.org/10.3322/canjclin.37.1.2
Skinner DG - Considerations for managcmenl of large retroperitoneal tumors: use of lhe modified thoracoabdominal approach. J Urol, 1977; 117: 605. DOI: https://doi.org/10.1016/S0022-5347(17)58552-3
Smith RB - Retroperitoneal lymphadenectomy in the treatment of testicular seminoma. Urol Chn North Am, 1980; 7: 765. DOI: https://doi.org/10.1016/S0094-0143(21)00167-1
Snow 8W, Rowlsnd RG, Donohue JP, Einhorn LH, Wiíhiams SD - Review of delayed orchieclomy in patients with disseminated testis tumors. J Urol, 1983; 129: 522, DOI: https://doi.org/10.1016/S0022-5347(17)52213-2
Srougi M, Munhoz JB, Tomasini OJ, Toiedo WP, Arap 5, Góes GM Tratamento e prognóstico dos tumores germinativos do testículo. Rev Ass Mcd Brasil, 1978: 24 313.
Srougi M, Sirnon SD, Góes GM - Remissão completa em câncer avançado do testículo como emprego do esquema VAB6: experiência com 40 casos. Rev Ass Med Brasil, 1985, 31: 52.
Srougi M, Simon SD, Góes CM - Vinblastine, aclinomycin D, bleomycin, ciclophosphamide and cis-plalinum for advanced germ cell testis tumors. Brazilian experience. J Urol, 1985; 134: 65 DOI: https://doi.org/10.1016/S0022-5347(17)46983-7
Stsubilz Wi, Early KS, Magcss IV, Murphy GP - Surgical treatment of non-seminomatous germinal testes tumors. Cancer, 1973; 32. 1206. DOI: https://doi.org/10.1002/1097-0142(197311)32:5<1206::AID-CNCR2820320529>3.0.CO;2-7
Slcckamp K, Schreiler F, Allwein JE - Alpha-adrenergic drugs in retrograde ejaculalion. Parti! Slerii, 1970, 25' 817. DOI: https://doi.org/10.1016/S0015-0282(16)40638-2
Slutzman RE, McLecd DG - Radialicn therapy: a primary treatment modality for seminoma. Urol Oin North Am, 1980,7' 757. DOI: https://doi.org/10.1016/S0094-0143(21)00166-X
Taylor HG, Teil DT, Soog Si, McLeod DG - Clinical evolution cf cystic teratoma during treatment with combination chemotherapy, Urology, 1986, 28: 218. DOI: https://doi.org/10.1016/0090-4295(86)90046-4
Vugrin D, Friedrrran A, Whitmore WF Jr - Correlation of serum tumor markers in advanced germ cell tumors with response to chemotherapy and surgery. Cancer, 1984; 53: 1140, DOI: https://doi.org/10.1002/1097-0142(19840315)53:6<1440::AID-CNCR2820530637>3.0.CO;2-G
Vugrin D, Whitmore WF - The role of chemotherapy and surgery in lhe treatment of retroperitoneaa metastases in advanced nonsemincmalous testis cancer. Cancer, 1985, 55' 1874. DOI: https://doi.org/10.1002/1097-0142(19850501)55:9<1874::AID-CNCR2820550905>3.0.CO;2-J
Vugrin D, Whitmore Jr. WF, Golbey RB - Vinblastine, aclincmycin, bleomycin, cyclophosphamide and cis-plalinum combination chemotherapy in metastatic testis cancer - A 1-year program. J Urol, 1982; 128. 1205. DOI: https://doi.org/10.1016/S0022-5347(17)53426-6
Wajsman Z, Beckley SA, Pontes JE - Changing concepts in the treatment of advanced seminomatous tumors J Urol, 1983, 129 303. DOI: https://doi.org/10.1016/S0022-5347(17)52066-2
Whitmore WF Jr. - Surgical treatment of clinical stage I nonseminomalcus germ cell tumors of the testis. Cancer Treal Rep, 1982; 66: 5.
Williams RD, Feinbcrg SB, Knighl LC, Fraley EE - Abdominal staging of testicular tumors using ultrasonography and computed tomography. J Urol, 1980,123: 872. DOI: https://doi.org/10.1016/S0022-5347(17)56172-8