[Treatment of embryonal carcinoma of the testis (stages I and IIa) without lymph node curettage. Long-term results].

Of 18 cases of embryonic carcinoma seen over the last 13 years, 10 were classified as inferior to stage III and were treated without glandular curettage: 5 by combined chemotherapy and radiotherapy, 3 by chemotherapy alone and 2 by radiotherapy alone. All patients have survived beyond 2 years (2 to 11 years). The attitude is considered as too restrictive which implies treating only when secondary recurrence occurs, since certain patients are lost to view. Moreover, curettage has a higher morbidity than chemotherapy. Routine chemotherapy without glandular curettage would appear to be indicated for stages a priori I and II.