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RADICAL ORCHIECTOMY FOR TUMORS OF THE TESTIS

RADICAL ORCHIECTOMY FOR TUMORS OF THE TESTIS 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

RADICAL ORCHIECTOMY FOR TUMORS OF THE TESTIS

JAMA , Volume 137 (10) – Jul 3, 1948

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Publisher
American Medical Association
Copyright
Copyright © 1948 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1948.02890440004002
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

JAMAAmerican Medical Association

Published: Jul 3, 1948

References