摘要: Nach den neuen Regeln des europaischen Konsensuspapiers wird die Indikation zur retroperitonealen Lymphadenektomie (RLA) beim nichtseminomatosen Hodentumor in Zukunft seltener gestellt. Im klinischen Stadium I RLA nur noch ausnahmsweise durchgefuhrt, im IIA bei Markerfreiheit. In allen anderen Stadien sie lediglich als Residualtumorresektion nach primarer Chemotherapie empfohlen, auserdem „Growing-teratoma“-Syndrom und seltenen „Desperation-surgery“-Situationen.
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