Would you use IMRT to treat stage II seminoma?   

I wouldn't use IMRT, but I have used protons in 20-40 year old patients, who, like peds, have a long lifetime at risk of secondary malignancy. The NCCN guidelines for Seminoma, Principles of Radiation Therapy, specifically advise against using IMRT and recommend 3D conformal. This is due to fear of ...