Testicular Cancer - Treatment
Depending on the type and stage of the cancer, along with overall health and age, different methods will be used to treat testicular cancer.
As part of the diagnostic process and treatment patients will undergo a procedure called, Radical Inguinal Orchiectomy. The surgeon will remove the testicle through an incision in the groin during this procedure. The tissue will then undergo microscopic examination by a pathologist. In cases where the patient is concerned about changes to the physical appearance of the genitals, an artificial testicle may be implanted inside the scrotum. Further surgery, chemotherapy and/or radiation may be necessary if the cancer has moved beyond the testicles. If future fertility is desired, sperm banking can be performed prior to the removal of the testicle.
Chemotherapy is used in cases where cancer has spread beyond the testicle to the lymph nodes or other organs. This treatment kills cancer cells that have spread beyond the testicle to other parts of the body. Patients normally undergo intravenous infusions of the chemotherapy drugs. For stage II or III cancer, chemotherapy for 9 to 12 weeks may be needed. After completing the drug regimen, surgery or radiation may be required to remove remaining tumor masses.
In radiation therapy, high-dose X-rays kill cancer cells. Patients with seminoma cancer typically respond well to radiation therapy.
This surgery may be very difficult and requires the skills of experienced surgeons. During retroperitoneal surgery, professionals remove lymph nodes in the abdomen that have potentially been tainted by the testicular cancer.