Polyorchidism: an unusual case.
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Biomedical subjects
Publications and source records attributed to B W Snow.
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Two cases of retroperitoneal fibrosis in children are presented; one was idiopathic while the other was in association with eosinophilic cystitis, heretofore not reported. A literature search of patients under eighteen years of age reviews presentation, treatment, and associated diseases.
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Of 8 patients who underwent delayed orchiectomy after adequate chemotherapy for metastatic testicular cancer 7 had no evidence of disease at the time of orchiectomy but 3 had residual cancer in the testis removed. The testis may be a privileged sanctuary for malignancy even during treatment with appropriate chemotherapy. Therefore, the primary tumor should be removed in patients presenting initially with metastatic disease, even if the metastases clear with treatment.