
Radioterapia para el tratamiento de los seminomas testiculares
GEMMA SANCHO PARDO, GERARDO GÓMEZ DE SEGURA
Radioterapia para el tratamiento de los seminomas testiculares
OBJECTIVE: Conventional treatment oftesticular seminoma has been orchiectomy followed byadjuvant lymph node irradiation. Over the last 10 yearsthe role of postoperative elective radiotherapy has beenquestioned. This paper reviews the role of radiotherapy inthe treatment of seminoma of the testis.METHODS: The literature is reviewed with specialreference to the results achieved in the treatment oftesticular seminoma with and without radiotherapy. Theadvantages and disadvantages of postoperativeradiotherapy, the techniques and dose administered arediscussed.RESULTS/CONCLUSIONS: The results obtained withradiotherapy postorchidectomy in stage I seminoma of thetestis are excellent, with a disease free survival of 95%-100%. The use of more limited fields of irradiation andlower dose has reduced the radiation-induced toxicity.Currently, many centers have opted for clinical surveillanceafter orchiectomy. Their experience have permittedidentification of the risk factors and there have beenattempts to identify the group of patients that benefit fromadjuvant therapy.The low incidence of stage II tumors has not permittedperforming randomized studies to determine the benefitsof adjuvant therapy and its comparison with chemotherapy.Consolidation radiotherapy for bulky stage II and stage III and IV tumors continues to be a controversy, although itspotential value in carefully selected patients is recognized.
Seminoma / Testis / Radiotherapy / Testis cancer {{custom_keyword}} /
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