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Advances in Urology
Volume 2018, Article ID 6783147, 5 pages
Review Article

The Use of Modified Templates in Early and Advanced Stage Nonseminomatous Germ Cell Tumor

Department of Urology, Indiana University School of Medicine, Indianapolis, IN 46202, USA

Correspondence should be addressed to Timothy A. Masterson; ude.iupui@retsamat

Received 4 December 2017; Accepted 15 February 2018; Published 5 April 2018

Academic Editor: Jason M. Hafron

Copyright © 2018 Timothy A. Masterson and Clint Cary. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The surgical management of both early and advanced stage germ cell tumors of the testis remains a complex process of surgical decision making to maximize oncologic control while minimizing morbidity. Over the past 5 decades, the evolution of the surgical template for retroperitoneal lymphadenectomy (RPLND) has resulted in important modifications to achieve these goals. In this review, we will characterize the historical motivating factors that led to the modified template, outline patient and clinical factors in selecting these approaches in both early and advanced stage disease, and briefly discuss future horizons for their implementation.