Testicular Cancer
Comprehensive care for testicular cancer including surgery (orchiectomy), chemotherapy, radiation therapy, and surveillance protocols.
Testicular Cancer
Solid Tumors
Overview
Testicular cancer is highly curable, especially when detected early. Treatment depends on tumor type (seminoma vs non-seminoma), stage, and risk factors. Most patients achieve cure with appropriate treatment.
When to Consult
Upon detection of testicular lump, pain, swelling, heaviness, or confirmed testicular cancer diagnosis.
What to Bring
Ultrasound reports, biopsy results, tumor marker tests (AFP, HCG, LDH), CT scans of chest/abdomen/pelvis, and surgical history.
Risk Factors
Causes
Treatment Options
Radical Inguinal Orchiectomy
Surgical removal of affected testicle through groin incision. Standard initial treatment for all testicular cancers. Preserves remaining testicle function.
Surveillance
Close monitoring with regular exams, tumor markers, and CT scans for stage I disease. Avoids unnecessary treatment while ensuring early detection of recurrence.
BEP Chemotherapy
Bleomycin, etoposide, and cisplatin regimen. Highly effective for testicular cancer. Standard for advanced disease and high-risk stage I non-seminoma.
EP Chemotherapy
Etoposide and cisplatin (without bleomycin) for patients with lung problems or to reduce bleomycin toxicity risk.
VIP Chemotherapy
Etoposide, ifosfamide, and cisplatin. Second-line option for relapsed disease or when BEP cannot be used.
Radiation Therapy
External beam radiation for stage I/II seminoma. Very effective with high cure rates. Lower doses than other cancers due to radiosensitivity.
Retroperitoneal Lymph Node Dissection (RPLND)
Surgical removal of lymph nodes in abdomen. May be done after chemotherapy for residual masses or as primary treatment for selected cases.
High-Dose Chemotherapy with Stem Cell Transplant
For relapsed or refractory disease. High-dose chemotherapy followed by autologous stem cell rescue. Intensive but potentially curative.
Salvage Chemotherapy
TIP (paclitaxel, ifosfamide, cisplatin) or other regimens for disease that recurs after initial treatment.