Urologic oncology survey
Commentary on “Partial orchiectomy for presumed malignancy in patients with a solitary testis due to a prior germ cell tumor: A large North American experience.” Lawrentschuk N, Zuniga A, Grabowksi AC, Rendon RA, Jewett MA, Division of Urology, Department of Surgical Oncology, Princess Margaret Hospital and the University Health Network, University of Toronto, Toronto, Ontario, Canada: J Urol 2011;185:508–13

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Commentary

The incidence of contralateral testicular cancer has been reported to be between 1% and 5%. In patients with a solitary testis, partial orchiectomy can be considered in selected cases. The authors have described their experience with 27 men with a prior germ cell tumor, of whom 17 had subsequent malignancy. The authors have described their technique in detail, including frozen section for margins. No perioperative hematomas were noted. Testosterone was maintained in the majority of patients,

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