Yolk Sac Tumor of the Testicle: Is Retroperitoneal Lymph Node Dissection Necessary?

Abstract
Experiences with 11 cases of yolk sac tumors, which were treated between 1960 and 1982 at the Hopital Sainte-Justine and the Montreal Children''s Hospital [Canada], were reported. The role of lymphadenectomy in yolk sac tumors is analyzed critically and is put into perspective with the use of serum .alpha.-fetoprotein. A flow sheet is presented for the management of yolk sac tumors. Apparently, the indication for lymphadenectomy in yolk sac tumor should be restricted to patients with persistently elevated serum .alpha.-fetoprotein after inguinal orchiectomy and chemotherapy.