Management of retroperitoneal recurrences. Seminoma and nonseminoma

Management of retroperitoneal recurrent tumor remains a great challenge. Accurate radiographic and clinical restaging and careful consultation with prior treating physicians can provide valuable insights into the history of each patient's disease. This, in turn, helps with choice of incision and exposure requirements. The surgeon must be prepared for all contingencies in the belly and chest, including vascular resections. When this is done, nearly 75% of patients can be rendered free of disease.