Radiation Oncology

Testicular Cancer

Questions discussed in this category

What are your top takeaways from ASCO GU 2025?

If a patient diagnosed with seminoma after orchiectomy has margin positive disease noted in the spermatic cord and no overt metastasis on imaging and normal tumor markers, how should this patient be staged?

If using adjuvant chemotherapy, should the patient receive carboplatin or use a more intensive regimen because of the positive margin status?

1 Answer available

How would you treat a patient with history of stage I seminoma s/p orchiectomy with enlarging periaortic node and normal tumor markers on surveillance?

Would you biopsy lymph node to confirm recurrence/histology? If confirmed, how do you decide between RT vs chemotherapy? If chemo - BEP x3 vs E...

5 Answers available

What is the best treatment for pT2 cN1 seminoma with mild elevation of B-HCG (~100)?

Is this stage IS or IIA? Is chemotherapy or RT preferred?

2 Answers available

What is your preferred treatment for Stage IIA seminoma or IIB seminoma with LN <3 cm and normal tumor markers after orchiectomy?

Does patient age effect your approach? Would you consider RPLND for any patients in light of the phase II SEMS trial presented at the 2021 ASCO GU Ca...

3 Answers available

How would you manage a patient with stage 1 seminoma on surveillance without prior radiation or chemotherapy who develops para-aortic lymphadenopathy without increase in tumor markers?

Would you radiate? Surgery? Chemo? Follow with short interval scans? How would size of adenopathy (e.g. <2cm vs larger) and time of recurrence (wi...

1 Answer available

What is the optimal management of recurrent seminoma with small volume retroperitoneal disease initially managed with surveillance?

How does your approach differ for patients with stage IIA versus IIB disease? Age?

3 Answers available

Is there any consensus or guidance on how to manage germ cell tumor patients in the COVID-19 era?

1 Answer available

Are there ever indications to include the inguinal nodes in the RT treatment field in a testicular seminoma?

Would a history of prior vasectomy in a stage IIA seminoma be an indication to include the inguinal nodes in the RT treatment field?

1 Answer available

What is the appropriate management of Stage 0 (testicular intratubular neoplasia) of the testicle?

Is there any advantage to primary RT as opposed to just orchiectomy? Additionally, in order to confirm Tis, a biopsy is required, which is typica...

1 Answer available

What factors would lead you to consider RT for men with Stage I seminoma?

The Chung validation study did not find that size > 4cm or rete testis invasion are risk factors for relapse and the current NCCN guideline discour...

2 Answers available