Primary Retroperitoneal Lymph Node Dissection for Patients With Pathologic Stage II Nonseminomatous Germ Cell Tumor-N1, N2, and N3 Disease: Is Adjuvant Chemotherapy Necessary?
Isamu TachibanaSean Q KernAntoin DouglawiYan TongMohammad MahmoudTimothy A MastersonNabil AdraRichard S FosterLawrence H EinhornClint CaryPublished in: Journal of clinical oncology : official journal of the American Society of Clinical Oncology (2022)
Most men with pathologic stage II disease treated with surgery alone in our series never experienced a recurrence. We did not observe a difference in recurrences between patients with pN1 and pN2. The recommendation for AC for pN2 disease may be overtreatment in most patients.