Testicular Cancer - Seminoma Evidence скачать в хорошем качестве

Testicular Cancer - Seminoma Evidence

Radiotherapy predominantly plays a role in the management of stage I and stage IIA/B seminomas. In this talk, we review the evidence base for the management of stage I and stage IIA/IIB seminoma. After inguinal orchiectomy, the preferred management of stage I seminomas is with active surveillance, where patients are monitored closely with H&P and CT abdomen pelvis. With this approach, 80-85% of patients require no further therapy, and the 15-20% of patients that relapse can be effectively salvaged with radiotherapy or chemotherapy. For primary or relapsed stage IIA/IIB seminomas, the standard radiation is 20 Gy/10 Fx to a modified dogleg field with 30-36 Gy boost to nodes (30 Gy to nodes up to 2 cm, and 36 Gy to nodes 2-3 cm). The other option is chemotherapy (EP x4 cycles or BEP x3 cycles). This presentation is created purely for educational purposes and does NOT constitute medical advice. If there are any errors or questions/concerns, we welcome comments and discussion!