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Treatment of testicular cancer

Treatment of testicular cancer

Treatment of testicular cancer

Treatment of testicular cancer

Staging is an essential step in planning treatment. Orchidectomy (surgical removal of the testis) is essential to remove the primary tumour and to obtain histology. Seminomas are radiosensitive and excellent results have been obtained by irradiating stage 1 and 2 tumours. Cisplatin is used for patients with metastatic disease. Teratomas are less sensitive to radiation. Stage 1 tumours can be managed by monitoring the levels of serum, markers and by repeated CT. Teratomas at stages 2-4 are managed with chemotherapy. Cisplatin, methotrexate, bleomycin and Vincristine have been used in combination with great success.

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