Volume 185, Issue 2, Pages (February 2011)

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Volume 185, Issue 2, Pages 508-513 (February 2011) Partial Orchiectomy for Presumed Malignancy in Patients With a Solitary Testis Due to a Prior Germ Cell Tumor: A Large North American Experience  Nathan Lawrentschuk, Alvaro Zuniga, Arthur C. Grabowksi, Ricardo A. Rendon, Michael A.S. Jewett  The Journal of Urology  Volume 185, Issue 2, Pages 508-513 (February 2011) DOI: 10.1016/j.juro.2010.09.072 Copyright © 2011 American Urological Association Education and Research, Inc. Terms and Conditions

Figure 1 Key features of partial orchiectomy. A, using inguinal approach with early vascular control with Penrose drain as temporary tourniquet mass is isolated with or without ultrasound. Incision is made in tunica albuginea, allowing around 5 mm normal parenchyma around the mass. B, tumor with margin is excised en bloc. Macroscopic margin (inset) is confirmed before immediate frozen section examination. C, testicle may now be repaired with tunica albuginea carefully sutured with meticulous hemostasis. Testis is returned to scrotum or completion radical orchiectomy is done after frozen section examination result is known. The Journal of Urology 2011 185, 508-513DOI: (10.1016/j.juro.2010.09.072) Copyright © 2011 American Urological Association Education and Research, Inc. Terms and Conditions

Figure 2 Management in cohort presenting with metachronous testicular mass in solitary testis. RPLND, retroperitoneal lymphadenectomy. The Journal of Urology 2011 185, 508-513DOI: (10.1016/j.juro.2010.09.072) Copyright © 2011 American Urological Association Education and Research, Inc. Terms and Conditions