Editing Retroperitoneal Lymph Node Dissection (section)

== Classification of Retroperitoneal Lymph Node Dissection (RPLND) ==

* '''Primary RPLND'''
** Performed after orchiectomy for CS I or low-volume CS II NSGCT with normal post-orchiectomy STMs
* '''Post-chemotherapy RPLND (PC-RPLND)'''
** Performed after completion of induction systemic chemotherapy
** Generally performed when there is a residual retroperitoneal mass and normal post-chemotherapy serum tumour markers. At some centers, PC-RPLND is performed even when there is a clinical complete remission (CR) to chemotherapy.
** In general, patients with elevated STMs after induction chemotherapy should receive salvage chemotherapy.
*** Salvage PC-RPLND
**** Performed after completion of induction and salvage (standard or high-dose) chemotherapy.
*** Desperation PC-RPLND
**** Performed despite serum tumour marker elevation
*** Reoperative RPLND
**** Performed in a patient who has undergone prior primary RPLND or PC-RPLND
*** Resection of late relapse—PC-RPLND
**** Performed for retroperitoneal recurrence 24 months or later after CR to primary therapy (which may or may not have included RPLND).