Supraclavicular node biopsy in staging testis tumors

Supraclavicular node biopsy in staging testis tumors

Supraclavicular node biopsy has been advocated previously as a routine staging procedure for patients with testicular tumors. Of 73 patients with testis tumors the scalene node biopsy revealed metastasis in only 3 of 61 patients with non-seminomatous tumors and in 1 of 12 patients with seminoma. Fur...

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Bibliographic Details
Published in:The Journal of urology Vol. 123; no. 1; p. 39
Main Authors: Lynch, Jr, D F, Richie, J P
Format: Journal Article
Language:English
Published: United States 01-01-1980
Subjects:
Biopsy - adverse effects
Dysgerminoma - pathology
Humans
Lymph Nodes - pathology
Lymphatic Metastasis
Male
Neoplasm Staging
Retrospective Studies
Testicular Neoplasms - pathology
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Summary:Supraclavicular node biopsy has been advocated previously as a routine staging procedure for patients with testicular tumors. Of 73 patients with testis tumors the scalene node biopsy revealed metastasis in only 3 of 61 patients with non-seminomatous tumors and in 1 of 12 patients with seminoma. Furthermore, all 4 patients were known to have other metastases; in 3 of the 4 patients a palpable supraclavicular mass was noted as well. The low yield of this procedure, in conjunction with a complication rate of 8%, mitigates against the routine use of supraclavicular node biopsy in patients without a palpable supraclavicular mass.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)55770-5