The testicular cancer treatment depends on the type of testicular cancer (seminoma versus non-seminoma), stage of the disease, performance status of the patient, along with other factors.
Following are the preferred treatment approaches for different stages of testicular germ cell tumor, but the final decision is taken after clinical assessment of the patient by an oncologist.
|0||Tis N0 M0 S0||Seminoma||Surveillance is generally preferred approach for patients with Stage 0 seminomas. The patient should be screened frequently for any sign of disease progression. No other treatment is generally recommended.|
|I||T1-4 N0 M0 Sx||Seminoma||In case of Stage I seminomas, high inguinal orchiectomy (complete removal of the affected testicle) followed by surveillance is the preferred option, mainly for T1-T3 disease. However, chemotherapy or radiation therapy is also an option after high inguinal orchiectomy.|
|Non-seminoma||In case of Stage I non-seminomas, high inguinal orchiectomy followed by surveillance is preferred for T1 disease. However, for T2-T4 tumors, chemotherapy or nerve-sparing retroperitoneal lymph node dissection (RPLND) are preferred after high inguinal orchiectomy.|
|II||Any T N1-3 M0 Sx||Seminoma||In case of Stage II seminomas, high inguinal orchiectomy followed by radiotherapy (for non-bulky disease or stage IIA) or chemotherapy (for bulky disease or stage IIB/IIC) is considered as the standard treatment.|
|Non-seminoma||In case of Stage II non-seminomas, high inguinal orchiectomy followed by RPLND (for non-bulky disease or stage IIA; with tumor marker(s) normal) or chemotherapy (for bulky disease or stage IIB/IIC, or tumor marker(s) elevated) is considered as the standard treatment.|
|III||Any T Any N M1 Sx||
|In case of Stage III seminomas and non-seminomas, radical inguinal orchiectomy followed by chemotherapy is the standard treatment. Radiation therapy and/or other palliative treatment may be given for relief of symptoms.|
Following is the brief description of various testicular cancer treatment:
It is very important to assess the benefits of each testicular cancer treatment option versus the possible risks and side effects before making a treatment decision. Sometimes patient’s choice and health condition are also important to make a treatment choice. Following are ultimate goals for testicular cancer treatment:
-Prolongation of life.
-Improvement in quality of life.
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Watch the video below where Cancerbro explains the TREATMENT OF SEMINOMA TESTIS in an easy to understand manner.
And in the following video, we will discuss the TREATMENT OF NON-SEMINOMA TESTIS.
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