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Quick Medical Diagnosis & Treatment Testicular Cancer Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Imaging Studies, Treatment, Surgery, Seminomas, Nonseminomas, Outcome, Prognosis, When to Refer, References,
. Topics Discussed: testicular cancer. Excerpt: | | Stage I and IIa (retroperitoneal disease < 2 cm/25 cm in diameter) seminomas treated by radical orchiectomy and retroperitoneal irradiation
Patients with clinical stage I disease may be candidates for surveillance or single-agent carboplatin
Stage IIc (> 5 cm retroperitoneal involvement) and stage III seminomas are treated with primary chemotherapy (etoposide and cisplatin or cisplatin, etoposide, and bleomycin)
Surgical resection of residual retroperitoneal masses is warranted if the mass is > 3 cm in diameter, under which circumstances 40% will harbor residual carcinoma
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