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Testicular Cancer - Department of Surgery at SUNY Downstate ...

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www.downst<strong>at</strong>esurgery.org<br />

Retroperitoneal Nodes<br />

<br />

<br />

<br />

<br />

Most common route – to<br />

retroperitoneal lymph nodes<br />

Right sided tumors<br />

Interaortocaval<br />

Precaval and<br />

paracaval nodes<br />

Left sided tumors<br />

Para-aortic and pre-aortic<br />

Interaortocaval<br />

Contral<strong>at</strong>eral spread more<br />

common with right sided<br />

tumors and associ<strong>at</strong>ed with<br />

large volume disease

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