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Pediatric Seminoma Treatment & Management

  • Author: Arnold C Paulino, MD; Chief Editor: Robert J Arceci, MD, PhD  more...
 
Updated: Apr 16, 2012
 

Medical Care

See Further Outpatient Care for more information about postsurgical adjuvant radiation therapy and chemotherapy in seminoma.

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Surgical Care

The appropriate surgical treatment for any patient with suspected testicular tumor is radical inguinal orchiectomy with high ligation of the spermatic cord. Transscrotal biopsy or transscrotal orchiectomy is inappropriate because the testis and scrotum have different lymphatic drainage patterns and these procedures can result in tumor recurrence in the scrotal skin or inguinal/pelvic lymph nodes.[12] In addition, an inguinal approach allows for more generous resection of the spermatic cord, improving surgical margins. Orchiectomy provides pathologic material for histologic diagnosis and primary pathologic staging information as well.

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Consultations

Consultation with the following specialists may be appropriate:

  • Pediatric urologist
  • Radiation oncologist
  • Pediatric oncologist
  • Reproductive endocrinologist or sperm banking specialist
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Diet

No specific dietary concerns are associated with the care of these patients.

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Activity

Any activity limitations are related to surgery (orchiectomy); for example, the patient's surgeon may recommend avoidance of heavy lifting or contact sports for a short time.

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Contributor Information and Disclosures
Author

Arnold C Paulino, MD Professor of Radiation Oncology, Methodist Hospital and Weill-Cornell Medical College; Associate Professor of Pediatrics, Baylor College of Medicine

Arnold C Paulino, MD is a member of the following medical societies: Radiological Society of North America, Children's Oncology Group, American Society of Clinical Oncology, International Society of Paediatric Oncology, American Medical Association, American Radium Society, American Society for Radiation Oncology

Disclosure: Received royalty from Elsevier, Inc for author of book.

Coauthor(s)

Jodi Muscal, MD Assistant Professor of Pediatrics, Division of Hematology-Oncology, Baylor College of Medicine, Texas Children's Hospital

Jodi Muscal, MD is a member of the following medical societies: American Association for Cancer Research, American Society of Pediatric Hematology/Oncology

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Steven K Bergstrom, MD Department of Pediatrics, Division of Hematology-Oncology, Kaiser Permanente Medical Center of Oakland

Steven K Bergstrom, MD is a member of the following medical societies: Alpha Omega Alpha, Children's Oncology Group, American Society of Clinical Oncology, International Society for Experimental Hematology, American Society of Hematology, American Society of Pediatric Hematology/Oncology

Disclosure: Nothing to disclose.

Chief Editor

Robert J Arceci, MD, PhD Director, Children’s Center for Cancer and Blood Disorders, Department of Hematology/Oncology, Co-Director of the Ron Matricaria Institute of Molecular Medicine, Phoenix Children’s Hospital; Editor-in-Chief, Pediatric Blood and Cancer; Professor, Department of Child Health, University of Arizona College of Medicine

Robert J Arceci, MD, PhD is a member of the following medical societies: American Association for the Advancement of Science, American Association for Cancer Research, American Pediatric Society, American Society of Hematology, American Society of Pediatric Hematology/Oncology

Disclosure: Nothing to disclose.

Additional Contributors

Kathleen M Sakamoto, MD, PhD Shelagh Galligan Professor, Division of Hematology/Oncology, Department of Pediatrics, Stanford University School of Medicine

Kathleen M Sakamoto, MD, PhD is a member of the following medical societies: International Society for Experimental Hematology, American Society of Hematology, American Society of Pediatric Hematology/Oncology, Society for Pediatric Research

Disclosure: Nothing to disclose.

References
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Radiotherapy fields for stage I seminoma.
 
 
 
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