{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:05:33Z","timestamp":1761764733423},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1997,7,1]],"date-time":"1997-07-01T00:00:00Z","timestamp":867715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1997,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Primary retroperitoneal germ cell tumours usually present as a large abdominal mass in young men. The testes are normal on examination and ultrasonography but there are usually raised serum levels of human chorionic gonadotrophin and\/or a-fetoprotein.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Fourteen men (median age 33 years) with primary retroperitoneal germ cell tumours were treated by chemotherapy followed by surgical resection of the primary tumour and metastases via a thoracoabdominal extraperitoneal approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was minimal morbidity. The survival rate was 13 of 14 and the disease-free survival rate was 11 of 14 after a median follow-up of 15 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The thoracoabdominal extraperitoneal approach for the removal of retroperitoneal germ cell tumours and their metastases after chemotherapy improves tumour clearance, morbidity and recovery time compared with the transperitoneal anterior approach.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.1800840736","type":"journal-article","created":{"date-parts":[[2006,6,16]],"date-time":"2006-06-16T19:33:11Z","timestamp":1150486391000},"page":"1022-1025","source":"Crossref","is-referenced-by-count":1,"title":["Primary retroperitoneal germ cell tumours: Excision via a thoracoabdominal extraperitoneal approach"],"prefix":"10.1093","volume":"84","author":[{"given":"T J","family":"Christmas","sequence":"first","affiliation":[{"name":"Department of Urology, Charing Cross Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Urology, Charing Cross Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G J S","family":"Rustin","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Charing Cross Hospital , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M J","family":"Seckl","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Mount Vernon Centre for Cancer Treatment , Northwood,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E S","family":"Newlands","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Mount Vernon Centre for Cancer Treatment , Northwood,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1997,7,1]]},"reference":[{"key":"2024092919583433900_bib1","first-page":"149","article-title":"Primary teratomas of the lateral retroperitoneal spaces","volume":"26","author":"Palumbo","year":"1949","journal-title":"Surgery"},{"key":"2024092919583433900_bib2","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1016\/S0140-6736(81)91625-1","article-title":"Testicular cancer in England and Wales: some epidemiological aspects","volume":"i","author":"Davies","year":"1981","journal-title":"Lancet"},{"key":"2024092919583433900_bib3","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/S0022-5347(17)45930-1","article-title":"Primary or secondary extragonadal germ cell tumors?","volume":"135","author":"Bohle","year":"1986","journal-title":"J Urol"},{"key":"2024092919583433900_bib4","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1200\/JCO.1985.3.3.316","article-title":"Chemotherapy of extragonadal germ cell tumors","volume":"3","author":"Logothetis","year":"1985","journal-title":"J Clin Oncoi"},{"key":"2024092919583433900_bib5","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1038\/bjc.1989.48","article-title":"Long-term outcome in patients with germ cell tumours treated with POMB\/ACE chemotherapy: comparison of commonly used classification systems of good and poor prognosis","volume":"59","author":"Hitchins","year":"1989","journal-title":"Br J Cancer"},{"key":"2024092919583433900_bib6","first-page":"267","volume-title":"Testicular Cancer - Investigation and Management","author":"Hendry","year":"1991"},{"key":"2024092919583433900_bib7","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/S0140-6736(83)92079-2","article-title":"Further advances in the management of malignant teratomas of the testis and other sites","volume":"i","author":"Newlands","year":"1983","journal-title":"Lancet"},{"key":"2024092919583433900_bib8","first-page":"8","article-title":"Prognostic factors in advanced non-seminomatous germ-cell testicular tumours: results of a multicentre study. 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