Describe the surgical and medical management of high-volume germ cell tumors, including vascular control techniques and decisions between salvage surgery vs. salvage chemotherapy.
Describe the approach to difficult high-grade retroperitoneal sarcomas including the utilization of neoadjuvant and/or adjuvant therapies.
Describe the urologist's approach to the incidental discovered retroperitoneal mass on cross-sectional imaging, including important clinical features such as age considerations, choice of biopsy, and imaging characteristics.
We will detail techniques to obtain total vascular control in the retroperitoneum to minimize blood loss and efficiently remove difficult retroperitoneal masses. Additionally, we will display how to control difficult bleeding from the great vessels . Options after failure of induction chemotherapy and failure of standard salvage chemotherapy present difficult decisions between surgery or high-dose chemotherapy. The approach to these decisions and important clinical considerations will be discussed using guideline-based considerations and situations that go beyond the guidelines. In addition, this course will describe the approach to the retroperitoneum for patients with high-grade retroperitoneal sarcomas including a discussion of neoadjuvant and adjuvant therapies. Finally, a discussion of the urologist’s approach to incidentally discovered retroperitoneal masses on imaging will occur, including what clinical features should be considered.