{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:40:16Z","timestamp":1790199616513,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2007,7,30]],"date-time":"2007-07-30T00:00:00Z","timestamp":1185753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2007,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND.<\/jats:title><jats:p>Traditionally, postchemotherapy (PC) surgery for metastatic nonseminomatous germ cell tumor (NSGCT) has used a full bilateral retroperitoneal lymph node dissection (RPLND) from the crus of the diaphragm to the bifurcation of the common iliac arteries, from ureter to ureter. With the primary landing zone well defined in low\u2010volume retroperitoneal disease, the authors performed modified dissections in the PC setting in a select population; and, herein, they report disease outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS.<\/jats:title><jats:p>From 1991 to 2004, a retrospective review of the testicular cancer database at the authors' institution was performed to identify patients with NSGCT, normal serum tumor markers after cisplatin\u2010based chemotherapy, and residual retroperitoneal tumor who underwent modified PC\u2010RPLND. All patients had metastatic disease at initial presentation that was limited to the primary landing zone (left or right).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS.<\/jats:title><jats:p>One hundred patients were identified, including 43 who underwent a right modified template, 18 patients who underwent a left full modified template, and 39 patients who underwent a left modified template. Pathology revealed cancer in 2% of patients, teratoma in 62% of patients, and necrosis in 36% of patients. The 2\u2010 and 5\u2010year disease\u2010free survival rate was 95%, and the median follow\u2010up was 31.9 months (range, 1\u2013152 months). Four patients developed recurrent disease with a median time to recurrence of 8.25 months (range, 6\u201311 months). All recurrences were outside the boundaries of a full bilateral RPLND.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS.<\/jats:title><jats:p>Selected patients at PC surgery can be managed with modified PC\u2010RPLND. Cancer 2007. \u00a9 2007 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.22898","type":"journal-article","created":{"date-parts":[[2007,7,30]],"date-time":"2007-07-30T13:46:47Z","timestamp":1185803207000},"page":"1235-1240","source":"Crossref","is-referenced-by-count":101,"title":["Is full bilateral retroperitoneal lymph node dissection always necessary for postchemotherapy residual tumor?"],"prefix":"10.1002","volume":"110","author":[{"given":"Stephen D. 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Journal of Clinical Oncology, 2006 ASCO Meeting Abstracts","volume":"24","author":"Albers P","year":"2006","journal-title":"J Clin Oncol."},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.06167.x"},{"key":"e_1_2_5_15_2","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/S0022-5347(18)31228-X","article-title":"Post\u2010chemotherapy retroperitoneal resection of residual masses in germ cell cancer with modified template resection","volume":"177","author":"Pfister D","year":"2007","journal-title":"J Urol."},{"key":"e_1_2_5_16_2","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/S0022-5347(18)31229-1","article-title":"Retroperitoneal residual tumor (RTR) resection for testicular cancer\u2010template instead of full bilateral resection","volume":"177","author":"Witthuhn R","year":"2007","journal-title":"J Urol."}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncr.22898","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.22898","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:36:09Z","timestamp":1760297769000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.22898"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8,31]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,9,15]]}},"alternative-id":["10.1002\/cncr.22898"],"URL":"https:\/\/doi.org\/10.1002\/cncr.22898","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"value":"0008-543X","type":"print"},{"value":"1097-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,8,31]]}}}