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Treatment Direction

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  • Treatment Direction

    For those newly diagnosed with questions about the direction your treatment might be heading, soemone gave me this link. Though treatment plans vary, mine followed these guidelines (NCCN). I took this in for my appointments and asked my physician to help fill in the blanks. See attached for what it's worth.

    Brian Kurth
    Right I/O - 6/10/04
    Stage I Pure Seminoma
    14 sessions RT - 7/29/04

  • #2
    A new version! I referred to the previous edition frequently, but this one was published 10/24/2005. Thanks for posting it, Brian.
    Highlights of major changes in the 2006 version of the Testicular Cancer guidelines from the 2005 version include:
    • For Stage I seminoma the RT dosage was changed to 20-30 Gy.
    • Adjuvant RT to ipsilateral ileoinguinal nodes was added as a consderation for patients with metastatic lymph node risk factors.
    • For Stage II seminoma, progressive disease was moved to an option after CT scan rather than after determination that PET scan is not feasible.
    right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since

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