Testis Tumor Treatment

TREATMENT

      All testicular tumours need orchidectomy for diagnosis of cell type of tumour staging is achieved by the use of imaging technique

      -     stage I+II seminoma receive radiotherapy

      -     stage III receive in addition chemotherapy

      All non seminomas receive chemotherapy after orchidectomy. Tumour marker assay is used as guide to indicate tumour response to therapy.

Inguinal Orchidectomy Steps

-        An inguinal incision

-        Inguinal canal opened spermatic cord identified and clamped

-        The testis in the tunica is mobilized from parietal attachments and delivered in the inguinal wound

-        Open tunica vaginals and view the testis, if suspicious

-        Cord ligated and cut leaving a metal clip for further treatment

-        Testis sent for histology
Close wound

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