Seminoma of the testicle is exquisitely radiosensitive and post-surgical radiotherapy is a key part of the treatment approach. Retroperitoneal lymph node dissection is indicated in patients found to have limited metastatic spread in addition to radiotherapeutic treatment.
Chemotherapy is advocated in patients with advanced seminoma. Observation is an experimental approach in the post-operative management of early stage testicular seminoma but should be reserved for highly motivated individuals or as a research tool.
!!! It is important to offer semen cryopreservation to all men presenting with testicular carcinoma prior to the commencement of therapy should they wish to preserve fertility. Improvement in symptoms is an important measurement.
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