THE OPERATIVE TREATMENT OF TUMORS OF THE TESTICLE

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Abstract
A well-recognized principle in the surgical treatment of malignancy is to excise widely the local growth, to make a clean dissection of all the lymphatics which drain the area and to remove the primary chain of glands into which these lymphatic vessels empty. The mortality-rate from cancer has progressively decreased with the adoption of these more and more radical methods of attack. Simple castration has been long and almost universally the treatment for malignant disease of the testes, and the majority of these patients have been seen to die of metastases which primarily involve the preaortic lymph-nodes into which the lymph-channels of the testicle drain. The radical principle which is theoretically so rational has not been generally applied to the surgery of the testicle for obvious anatomic and other reasons. Surgeons have been restrained both by the great operative difficulties and by a general belief in the futility of such

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