Clinical stage i nonseminomatous and mixed germ cell tumors of the testis. A clinicopathologic study of 93 patients on a surveillance protocol after orchiectomy alone Academic Article Article uri icon


MeSH Major

  • Blood Pressure Determination
  • Hypertension
  • Self Care


  • This study of 93 patients with Stage I nonseminomatous and mixed germ cell testicular tumors who were placed in a surveillance study following orchiectomy was designed to evaluate pathologic prognostic factors. Follow-up was at least 12 months post-orchiectomy except for one patient who was followed for 9 months. Lymphatic invasion was identified in 26 patients, 62% of whom developed distant metastases; metastasis developed in only 18% of 67 patients without lymphatic invasion (P less than 0.01). Relapse was also associated with the presence of embryonal carcinoma. Of 81 patients with an embryonal carcinoma component, 35% developed metastases, whereas none of those without an embryonal carcinoma developed metastasis (P = 0.05). Effects of other histologic features and tumor size were not significant. Lymphatic invasion appeared to be a significant poor prognostic factor, and embryonal carcinoma was an independent poor prognostic factor.

publication date

  • January 1988



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1002/1097-0142(19880915)62:6<1202::AID-CNCR2820620627>3.0.CO;2-S

PubMed ID

  • 2842034

Additional Document Info

start page

  • 1202

end page

  • 6


  • 62


  • 6