RPLND
Also written as: RPLND — Retroperitoneal Lymph Node Dissection
Surgical removal of retroperitoneal lymph nodes, typically performed for testicular cancer staging or treatment.
Full Definition
Retroperitoneal lymph node dissection is a major surgical procedure involving the removal of lymph nodes in the retroperitoneal space, primarily performed for testicular cancer management. The procedure can be performed as primary treatment for clinical stage I non-seminomatous germ cell tumors or as post-chemotherapy surgery for residual masses. Modern nerve-sparing techniques have significantly reduced the risk of retrograde ejaculation. The extent of dissection varies based on the primary tumor location and disease stage.
Usage
Usage note: Always spell out on first use in documents; distinguish from general lymphadenectomy.
In Context
- "The patient underwent nerve-sparing RPLND for stage II testicular cancer." — Operative report
- "Post-chemotherapy RPLND revealed necrotic tissue without viable tumor." — Surgical pathology report