CA: A Cancer Journal for Clinicians, Vol 17, 209-212, Copyright
© 1967 by American Cancer Society
Treatment of Testicular Tumors
William L. Caldwell M.D.1
1 Director, Division of Radiotherapy and Radiation Research, Vanderbilt University Hospital, Nashville, Tennessee.
Orchiectomy followed by irradiation (3,000-3,500 rads/3-4 weeks) of at least the homolateral pelvis and paraortic lymph nodes is the treatment of choice for Stage I and Stage II seminomas of the testis. Elective irradiation of the mediastinum and supraclavicular regions as well may prove fruitful. Localized nonseminomatous germinal tumors of the testis perhaps are best managed by the same method except with higher doses of irradiation (5,000-5,500 rads/5-6 weeks). The value of radical retroperitoneal lymphadenectomy is yet to be confirmed. It may be advantageous if combined with preoperative and postoperative irradiation.