Abstract The varied cellular structure of testicular tumors suggests that no single method of treatment is universally applicable. Simple orchiectomy can cure in but a small percentage of cases because of the frequency of early metastasis. The combined therapy of simple orchiectomy and radiation therapy, which is employed by the members of the profession throughout the country, using the standard 250,000 volt roentgen equipment, has proved adequate only for seminoma. Radical orchiectomy, as described by Chevassu,1 was abandoned by Young, and limited to teratomas by Hinman2 because of the relative frequency with which inoperable metastasis was found in their patients. I shall try to show that a clinicalpathologic classification of testicular tumors indicates that surgical treatment should be extended and radiation therapy rationalized. DIAGNOSIS The cure of testis tumors depends on control of the retroperitoneal metastatic areas, and the operability depends primarily on early diagnosis. The differential diagnosis of References 1. Chevassu, M.: Traitment chirurgical des cancers du testicule , Rev. de Chi r. 30:628, 1910. 2. Hinman, F.: Radical Operation for Teratoma Testis , Am. J. Surg. 28:16 ( (April) ) 1935.Crossref 3. Friedman, M.: Supervoltage Roentgen Therapy at Walter Reed General Hospital , S. Clin. North America 24: 1424 ( (Dec.) ) 1944. 4. Ewing, J.: Neoplastic Disease: A Treatise on Tumors , ed. 4, Philadelphia, W.B. Saunders Company, 1940, chap. 40 . 5. Friedman, N.B.: Atlas of Genitourinary Pathology , Army Institute of Pathology, United States War Department, Surgeon General's Office, 1946.
JAMA – American Medical Association
Published: Jul 3, 1948