Primary Retroperitoneal Lymph Node Dissection for Stage IB Nonseminomatous Germ Cell Tumor

摘要

A 29-year-old man presented to our office with a right-sided testicular mass that he had noticed several weeks prior. The mass was painless and had grown slightly larger since the patient had first noticed it. The patient denied any weight loss, back pain, sexual dysfunction, or other constitutional symptoms. He had no antecedent history of testicular trauma and did not report any personal or family history of undescended testes, pediatric hernia repairs, or testicular cancer. He is a never smoker and reported occasional alcohol use but denied any use of recreational drugs, including marijuana. The patient is married, has one young child, and desires future fertility.