The basis of treatment for advanced germ cell tumors is chemotherapy and surgical resection of residual disease. Surgery has maintained its role in staging and therapeutic management. Despite these advances, much of the outcomes depend on proper patient selection. Complete removal of all post-chemotherapy residual masses remains the standard of care in the treatment of advanced nonseminomatous germ cell tumors both within and outside of the retroperitoneum.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878447PMC
http://dx.doi.org/10.4103/0970-1591.60448DOI Listing

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