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In this video, Dr Sunny Garg explains the treatment of localized, locally advanced and metastatic testicular germ cell tumors. He discusses the treatment of Seminomatous and Non=seminomatous testicular germ cell tumors in detail. First we will discuss the treatment for seminoma. The treatment options for stage 1 seminoma are surveillance, radiation therapy or chemotherapy. Surveillance is usually preferred from T1 to T3 disease. For stage 2 seminoma, the treatment depends on whether it is stage 2A, 2B or 2C. For stage 2A, the treatment options are radiotherapy and chemotherapy. For stage 2B also, chemotherapy and radiotherapy are the treatment options but chemotherapy is preferred over radiotherapy in most of the cases. And for stage 2C, chemotherapy is the treatment of choice. For stage 3 disease also, chemotherapy is the treatment of choice. The treatment options for stage 1 non-seminoma are surveillance, surgery or chemotherapy. Surveillance is usually preferred in T1 disease. The surgery that is done for non-seminomatous germ cell tumors is called as retroperitoneal lymph node dissection or RPLND. Treatment for stage 2 non-seminoma depends on whether the markers are S0 or S1, that is whether they are normal or elevated. If the markers are elevated, then chemotherapy is the treatment of choice. For stage 2 disease with normal markers, the treatment depends on whether it is stage 2A, 2B or 2C. For stage 2A disease, the treatment options are surgery or chemotherapy. For stage 2B disease also, the treatment options are the same, but chemotherapy is preferred over surgery. And for stage 2C disease, chemotherapy is the treatment of choice. For stage 3 disease also, chemotherapy is the treatment of choice. #testicularcancer cancer #cancertreatment #cancerawareness _________________________________________________________ Thanks for Watching. Subscribe the channel "Dr. Sunny Garg-Medical Oncologist". Visit the website www.oncoexperts.in