If not detected and treated early, testicular cancer often spreads to lymph nodes in the abdomen. Sometimes chemotherapy is the treatment of choice for the cancer that has spread. However, if chemotherapy does not destroy all of the cancer, patients may require surgery to remove lymph nodes in the back of the abdomen. This is known as post-chemotherapy RPLND.
After the tumors are surgically removed, they are sent to a pathologist to be looked at under a microscope.
If chemotherapy alone cannot eradicate the cancer that has spread to the lymphatic system, RPLND may be the next step.