retroperitoneal lymph node dissection

• 後腹膜リンパ節郭清

WordNet

1. used to express refusal or denial or disagreement etc or especially to emphasize a negative statement; "no, you are wrong"
2. a negative; "his no was loud and clear"
3. referring to the degree to which a certain quality is present; "he was no heavier than a child" (同)no more
4. not in any degree or manner; not at all; "he is no better today"
5. quantifier; used with either mass nouns or plural count nouns for indicating a complete or almost complete lack or zero quantity of; "we have no bananas"; "no eggs left and no money to buy any"; "have you no decency?"; "did it with no help"; "Ill get you there in no time"
6. sway gently back and forth, as in a nodding motion; "the flowers were nodding in the breeze"
7. be almost asleep; "The old man sat nodding by the fireplace"
8. let the head fall forward through drowsiness; "The old man was nodding in his chair"
9. the act of nodding the head
10. a sign of assent or salutation or command
11. express or signify by nodding; "He nodded his approval"
12. lower and raise the head, as to indicate assent or agreement or confirmation; "The teacher nodded when the student gave the right answer"
13. any thickened enlargement (同)knob, thickening
14. (botany) the small swelling that is the part of a plant stem from which one or more leaves emerge (同)leaf node
15. a connecting point at which several lines come together
16. (computer science) any computer that is hooked up to a computer network (同)client, guest
17. (astronomy) a point where an orbit crosses a plane
18. (physics) the point of minimum displacement in a periodic system
19. any bulge or swelling of an anatomical structure or part
20. cutting so as to separate into pieces
21. detailed critical analysis or examination one part at a time (as of a literary work)
22. a minute and critical analysis
23. a thin coagulable fluid (similar to plasma but) containing white blood cells (lymphocytes) and chyle; is conveyed to the blood stream by lymphatic vessels

PrepTutorEJDIC

1. 《名詞の前に置いて》『一つも』(『一人も,少しも』)・・・『ない』 / 《補語につけて》『決して・・・でない』 / 《省略文で》・・・なし;・・・お断り / 《話》少ししか(あまり)・・・ない / (肯定の問いに対して)『いいえ』;(否定の問いに対して)はい,ええ / 《not, norの前に挿入して》『いや』,否 / 《形容詞の前に置その形容詞を否定して》…どころではない / 《比較級の前に置いて》ちっとも…でない,…と全く同じ / 《… or no の形で》…であってもなくても / 《驚き・困惑・不信などを表して》とんでもない / 《単数形で》『拒否』,「『いいえ』」という返事 / 《複数形で》反対[投]票
2. (承諾・あいさつ・合図などで)『うなずく』,会釈する / (眠くて)『こっくりする』,(油断して)うとうとする《+off》 / 〈草木・穂などが〉揺れる / (承諾・あいさつなどで)〈頭〉‘を'『うなずかせる』 / …‘を'うなずいて示す / 《副詞[句]を伴って》〈人〉‘に'うなずいて示す / 《同意・承諾・あいさつ・命令など,また時には拒絶を表して》(…に対する)『うなずき』,『会釈』《+『to』+『名』》;(眠気による)こっくり
3. (茎・幹の)節(ふし) / (体組織にできた)結節,こぶ(リンパ瘤(りゅう)など) / (天体の軌道の)交点 / (物事の)中心点
4. 〈U〉〈C〉(実験・研究のための)解剖,解体 / 〈C〉実験用解剖体,解剖模型 / 〈U〉詳細な分析
5. リンパ[液]

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/25 00:03:36」(JST)

wiki en

[Wiki en表示]

Retroperitoneal lymph node dissection (RPLND) is a procedure to remove abdominal lymph nodes to treat testicular cancer, as well as help establish its exact stage and type. It is usually performed using an incision that extends from the sternum to several inches below the navel. While laparoscopic methods may be used, they have been considered less effective by some surgeons.

Testicular cancer spreads in a well-known pattern, and the lymph nodes in the retroperitoneum are a primary landing site during spread of the disease. Examining the removed lymphatic tissue will determine the extent of spread of any malignant disease and if no malignant tissue is found, the cancer may be more accurately considered as a stage I cancer, limited to the testis.

The procedure is becoming standard treatment for clinical stage I and II non-seminomatous germ cell tumors (NSGCTT) because of the low mortality and relapse rate with this procedure, as compared with the alternative, which is observation. Also, NSGCTT is considered more aggressive than seminomas, the "other" kind of testicular cancer. Seminomas are also much more sensitive to radiation than NSGCTTs, so the noninvasive radiation treatment is often preferred over RPLND.

The potential problems in RPLND have mostly to do with nerves: sympathetic nerves running parallel to the spinal cord may be damaged or severed during the procedure, which can result in infertility, an inability to ejaculate, or the inability to have an erection. This is why most often, a nerve-sparing technique is used where possible. A less invasive form using laparoscopic techniques (L-RPLND) exists, which is more costly, time-consuming, and requires special equipment that not every hospital may have. Open RPLND (O-RPLND), which is performed by opening the abdomen to get inside, has more room for problems, but is an equally effective way to remove the lymph nodes. Disadvantages of an open RPLND include longer recovery time, sometimes with physiotherapy required to help the patient regain the ability to walk after being bed-bound. As with any major surgery, infection is a possibility, and bowel obstructions and adhesions are another possible side effect.

There are different schools of thought about the need to perform RPLND after orchiectomy, and it depends on the type of tumour, and what stage it is in. Most American doctors recommend surgery, whereas in Europe, chemotherapy is more often used. An RPLND may be performed to remove non-malignant tumour remnants which persist after chemotherapy; without further treatment these may once more become malignant, and may be resistant to the combination of chemotherapy previously used.

Chemotherapy before RPLND is considered an effective approach, because it is possible that it suffices and no relapse occurs. However, in the event that the cancer does recur, chemotherapy can complicate surgery.

References

• Role of Retroperitoneal Lymph Node Dissection in the Management of Testicular Cancer
• Surgery for testicular cancer: indication, results and technical aspects.
• Refining the laparoscopic retroperitoneal lymph node dissection for testicular cancer
• Testicular Cancer: Treatment Options by Stage

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 早期非セミノーマ性精巣胚細胞腫瘍における後腹膜リンパ節郭清 retroperitoneal lymph node dissection for early stage nonseminomatous testicular germ cell tumors
• 2. 初回治療後の精巣胚細胞腫瘍に対する外科的アプローチ approach to surgery following primary treatment for advanced testicular germ cell tumors
• 3. ステージIの非セミノーマ胚細胞性腫瘍のマネージメント management of stage i nonseminomatous germ cell tumors
• 4. 精巣癌の長期生存者のケアへのアプローチ approach to the care of long term testicular cancer survivors
• 5. 精巣胚細胞腫瘍の臨床症状、診断、および病期分類 clinical manifestations diagnosis and staging of testicular germ cell tumors

English Journal

• Quality-of-Life Analysis of the German Prospective Multicentre Trial of Single-cycle Adjuvant BEP Versus Retroperitoneal Lymph Node Dissection in Clinical Stage I Nonseminomatous Germ Cell Tumours.

• Flechtner HH1, Fischer F2, Albers P3, Hartmann M4, Siener R5; German Testicular Cancer Study Group.
• European urology.Eur Urol.2016 Mar;69(3):518-25. doi: 10.1016/j.eururo.2015.11.007. Epub 2015 Nov 24.
• BACKGROUND: The superiority of one course of bleomycin, etoposide, and cisplatin (BEP) over retroperitoneal lymph node dissection (RPLND) as adjuvant treatment in patients with clinical stage I nonseminomatous germ cell tumours (CSI-NSGCT) in terms of recurrence has been shown. However, studies prov
• PMID 26620368

• Cervical adenocarcinoma with stromal micropapillary pattern.

• Toyoda S1, Kita T1, Sugiura A1, Itani Y1, Okada H2, Nakamura S2, Ohbayashi C3.
• Diagnostic cytopathology.Diagn Cytopathol.2016 Feb;44(2):133-6. doi: 10.1002/dc.23393. Epub 2015 Nov 26.
• Adenocarcinoma with a stromal micropapillary pattern (SMP) has been described in various organs, but not in the uterus. We encountered a case of uterine cervical carcinoma with SMP. A54-year-old Japanese woman was referred to the hospital with abnormal vaginal bleeding. The cervical cytodiagnosis wa
• PMID 26608235

• Novel technique for the complete staging of endometrial cancer by single-port laparoscopy.

• Zapardiel I1, Moreno E2, Piñera A2, De Santiago J2.
• Gynecologic oncology.Gynecol Oncol.2016 Feb;140(2):369-71. doi: 10.1016/j.ygyno.2015.12.014. Epub 2015 Dec 17.
• OBJECTIVE: Our aim was to evaluate the feasibility of a novel technique using single-port laparoscopy for the complete surgical staging of endometrial cancer.METHODS: Total hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy and para-aortic lymphadenectomy was performed using a sin
• PMID 26706660

Japanese Journal

• 統合失調症患者に発生した巨大精巣腫瘍の1例

• 野村 広徳,野々村 大地,金城 孝則,山本 致之,米田 傑,鄭 則秀,高田 晋吾,松宮 清美
• 泌尿器科紀要 = Acta urologica Japonica 60(5), 241-244, 2014-05
• … Clinical examination revealed a right adult -head-sized testicular tumor, multiple lymph node metastasis with marked elevation of serum lactic dehydrogenase (LDH) and β -human chorionic gonadotropin (β -HCG). … After the treatment, the tumor markers were normalized, but he refused to undergo retroperitoneal lymph node dissection. …
• NAID 120005439519

• Choriocarcinoma syndrome を来した性腺外胚細胞腫瘍に対してModified BEP レジメンによる導入化学療法が奏効した1例

• 大島 純平,植村 元秀,加藤 大悟,永原 啓,木内 寛,辻村 晃,野々村 祝夫
• 泌尿器科紀要 = Acta urologica Japonica 60(4), 183-187, 2014-04
• … After salvage chemotherapies, levels of the tumor marker hCG decreased to normal levels, and retroperitoneal lymph node dissection and left lung wedge resection were performed to confirm pathological complete remission. …
• NAID 120005439511

• 膀胱癌に対する長期化学療法施行中に出現した門脈血栓症の1例

• 上田 倫央,中山 雅志,松崎 恭介 [他],山本 致之,武田 健,中田 渡,新井 康之,垣本 健一,西村 和郎,向井 幹夫
• 泌尿器科紀要 = Acta urologica Japonica 59(7), 449-452, 2013-07
• … A 53-year-old man was diagnosed with bladder cancer with pelvic and para-aortic lymph node metastases. … He underwent radical cystectomy and ileal conduit construction and retroperitoneal lymph node dissection after showing a partial response to 4 cycles of chemotherapy with methotrexate,vinblastine,doxorubicin and cisplatin (MVAC). …
• NAID 120005308131

Related Links

• Retroperitoneal Lymph Node Dissection

Retroperitoneal lymph node dissection (RPLND) has a diagnostic and therapeutic role in many urologic malignancies. Testicular carcinoma is the most common urologic indication for RPLND, followed by renal cell carcinoma and upper urinary tract urothelial carcinoma. In the setting of testicular ...

• Retroperitoneal Lymph Node Dissection - UW Departments ...

Overview Retroperitoneal lymph node dissection, commonly referred to as RPLND, is a procedure to remove abdominal lymph nodes to treat testicular cancer, as well as help establish its exact stage. It is usually performed using an ...

Related Pictures

---

★リンクテーブル★

リンク元	「後腹膜リンパ節郭清」
関連記事	「dissection」「node」「retroperitoneal」「nod」

「後腹膜リンパ節郭清」

　　[★]

英

retroperitoneal lymph node dissection

「dissection」

　　[★]

• v.

• 切開、解剖、解体、郭清、精査、ダイセクション
• (医)解離

関

anatomy、detachment、disassemble、disassembly、dismantle、dissect、dissociate、dissociation、incise、incision、maceration、perusal、radical dissection、scrutinize、scrutiny、total dissection、unbinding

　 　 　 　

「node」

　　[★]

• n.

• 結節、リンパ節、節、ノード

関

clause、ganglia、ganglion、ganglionic、knot、lymph node、nodal、nodose、nodulate、section、tubercle、tubercular、tuberosity

　 　 　 　 　 　 　 　

「retroperitoneal」

　　[★]

• 後腹膜の、腹膜後の

関

retroperitoneum

「nod」

　　[★]