Testicular Cancer
Comprehensive care for testicular cancer including surgery (orchiectomy), chemotherapy, radiation therapy, and surveillance protocols.
Testicular Cancer
Solid Tumors
Overview
Comprehensive care for testicular cancer including surgery (orchiectomy), chemotherapy, radiation therapy, and surveillance protocols.
When to Consult
Upon detection of testicular lump, pain, or confirmed testicular cancer diagnosis.
What to Bring
Ultrasound reports, biopsy results, tumor marker tests (AFP, HCG, LDH), CT scans, and surgical history.
Risk Factors
Causes
Treatment Options
Radical Inguinal Orchiectomy
Surgical removal of the affected testicle through an incision in the groin. Primary treatment for all testicular cancers. Remaining healthy testicle provides adequate hormone production and fertility.
Retroperitoneal Lymph Node Dissection (RPLND)
Surgical removal of lymph nodes in the abdomen to treat or prevent spread. May be performed after chemotherapy for residual masses or as primary treatment for certain early-stage seminomas.
Chemotherapy
Highly effective systemic treatment using BEP (bleomycin, etoposide, cisplatin) or EP regimens. Cure rates exceed 90% even for advanced disease. Used after surgery for non-seminoma or advanced seminoma.
Radiation Therapy
External beam radiation to the retroperitoneal lymph nodes for stage I or II seminoma. Highly effective with cure rates over 95%. Less commonly used now due to excellent outcomes with surveillance or chemotherapy.
Active Surveillance
Close monitoring with regular physical exams, blood tests (tumor markers), and imaging for stage I testicular cancer. Treatment initiated only if recurrence detected, avoiding unnecessary therapy in many cases.
High-Dose Chemotherapy with Stem Cell Transplant
Intensive chemotherapy followed by autologous stem cell rescue for relapsed or refractory testicular cancer. Offers potential cure for patients who fail standard chemotherapy regimens.