Pediatric Seminoma Treatment & Management

Updated: Apr 18, 2017
  • Author: Arnold C Paulino, MD; Chief Editor: Cameron K Tebbi, MD  more...
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Treatment

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. [13] 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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