[Non-surgical treatment of testicular cancer: guidelines for the urologist].
Near 70% of patients diagnosed with testicular seminoma make their presentation without metastasis. Although spread at the time of diagnosis is the rule, 25% of non-seminomatous germ-cell tumours are found confined to the testicle at presentation. Standardization of diagnostic and follow-up methods -within reach of most urology services- should allow a closer relationship between urologists and testicular tumours. Observation of "aggressive" surveillance schedules for stage I non-seminomatosous tumours confined with no risk factors, and use of radiotherapy to treat low degree (I,IIa and IIb) seminomas should allow urologists an initial control of up to 50% of patients. Occurrence of relapse or presentation in advanced stages force the use of chemotherapy. The present paper outlines the most basic aspects of non-surgical treatment of patients with testicular tumours.
Servicio de Urología, Hospital Universitario de Getafe, Madrid.
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Páez Borda
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Llorente Abarca
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Herrero Payo
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Acebal Lucia
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Berenguer Sánchez
D002985:Clinical Protocols; D003131:Combined Modality Therapy; D004407:Dysgerminoma / Q000473:pathology / Q000628:therapy*; D005190:Family / Q000523:psychology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D009373:Neoplasms, Germ Cell and Embryonal / Q000473:pathology / Q000628:therapy*; D012944:Social Support; D013736:Testicular Neoplasms / Q000473:pathology / Q000523:psychology / Q000628:therapy*; D014572:Urology