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Treatment Of Testicular Cancer

Treatment of testicular cancer and germ cell tumors belong into the hands of an experienced urologist with input from a major Cancer Center. Here are some 5-year survival statistics for testicular cancer and right beside it for extragonadal germ cell cancers. It might help to be reminded that in the 1970’s the 5-year survival for mediastinal germ cell tumors was only 3%.

5-year survival of testicular and extragonadal germ cell cancers

Testicular cancer (seminoma) Extragonadal germ cell cancers
Stage: Survival: Comments: Location: survival:
I 98% orchiectomy + radiation suprasellar (=pinealoma) 76%
II 93% orchiectomy + radiation + cisplatinum combination Rx originated in thymus, stomach, retroperitoneum or prostate gland 50%
III 61% mediastinal 42%


Cancer Clinics are having ongoing trials to attempt to improve the survival of these patients. However, considering how things used to be only a few decades ago, we have come a long way already. The biggest breakthrough has been the use of chemotherapy for the later stages and the orchestration following the initial orchiectomy with post surgical radiotherapy of the paraaortic lymph nodes for the earlier stages.

 Treatment Of Testicular Cancer

Treatment Of Testicular Cancer (Surgery)



1. Cancer: Principles &Practice of Oncology.4th edition. Edited by Vincent T. DeVita, Jr. et al. Lippincott, Philadelphia,PA, 1993. Chapter on Cancer of the Testis.

2. Cancer: Principles&Practice of Oncology. 5th edition, volume 1. Edited by Vincent T. DeVita, Jr. et al. Lippincott-Raven Publ., Philadelphia,PA, 1997. Chapter on Cancer of the Testis.

3. Votrin II et al. Drugs Exp Clin Res 2000;26(5-6):267-273.

4. B Aschhoff Drugs Exp Clin Res 2000;26(5-6):249-252.

5. Conn’s Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier

6. Ferri: Ferri’s Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc

7. Suzanne Somers: “Breakthrough” Eight Steps to Wellness– Life-altering Secrets from Today’s Cutting-edge Doctors”, Crown Publishers, 2008

Last modified: September 22, 2014

This outline is only a teaching aid to patients and should stimulate you to ask the right questions when seeing your doctor. However, the responsibility of treatment stays in the hands of your doctor and you.