[Follow-up of testicular tumors in the metastatic diffusion phase. Current orientation]

Lymphadenectomy in germinal tumors of the testis, in spite of the immediate morbility (postoperative complications) and of the permanent morbility (unejaculation), is still, as regards the group of non-seminoma neoplasms, the most suitable for survival. However, groups of oncologists are seeking the possibility of avoiding this technique at stage I and II of the lesions, with the help, of course, of careful observation by CT, NMR, markers. The use of combined therapies (chemotherapy and radius therapy) has increased survival and the patients' life, allowing a highly satisfying percentage of recovery also in the non-initial stages.