Stage II Testicular Cancer
Treatment of seminoma for a tumor that is 5 centimeters or smaller may include:
- Surgery to remove the testicle
- Radiation therapy to lymph nodes in the abdomen and pelvis
- Lifelong follow-up.
Treatment of seminoma for a tumor that is larger than 5 centimeters may include:
- Surgery to remove the testicle.
- Combination chemotherapy or radiation therapy to lymph nodes in the abdomen and pelvis
- Lifelong follow-up.
Treatment of nonseminoma may include:
- Surgery to remove the testicle and lymph nodes, with lifelong follow-up
- Surgery to remove the testicle and lymph nodes, followed by combination chemotherapy and lifelong follow-up
- Surgery to remove the testicle followed by combination chemotherapy and a second surgery if cancer remains, with lifelong follow-up
- Combination chemotherapy before surgery to remove the testicle for cancer that has spread and is thought to be life-threatening.
Stage III Testicular Cancer
Treatment of stage III
testicular cancer will depend on whether the cancer is seminoma or nonseminoma.
Treatment of seminoma may include:
- Surgery to remove the testicle
- Combination chemotherapy
- Lifelong follow-up.
Treatment of nonseminoma may include:
- Surgery to remove the testicle, followed by combination chemotherapy
- Combination chemotherapy followed by surgery to remove any remaining tumor
- Additional chemotherapy (if the tumor tissue removed contains cancer cells that are growing)
- Combination chemotherapy combined with radiation therapy to the brain for cancer that has spread to the brain
- Combination chemotherapy before surgery to remove the testicle for cancer that has spread and is thought to be life-threatening.
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