Other Treatment
Radiation therapy is a common treatment for
seminoma germ-cell tumors. Because the lymph nodes in
the pelvis and lower back (retroperitoneum) are the most common areas of
metastasis for
testicular cancer, radiation is commonly focused on
that area.
In some cases, radiation therapy may be the best treatment option
for completely curing testicular cancer. However, when planning your treatment
with your health professional, it is important to discuss the benefits, risks,
and possible side effects of each treatment.
Radiation therapy can cause long-term health conditions—although it
is uncommon—including
infertility and an increased chance of developing
cancer later in life.
Other Treatment Choices
- Radiation therapy
What To Think About
The treatment options available to you will depend on a number of
factors, including the type of cancer cells present, the
stage of your cancer, your overall health, and your
willingness to strictly follow your doctor's follow-up schedule. If you have an
early-stage cancer, you may be given the option of having radiation therapy to
destroy any remaining cancer cells, or another treatment such as surgery or
chemotherapy. Your decision about which treatment to
receive will be based on balancing the benefits with the risks and possible
side effects of each treatment option, including the effects on your quality of
life and the possibility that your cancer will return.
Most side effects of radiation therapy are short-term and do not
pose any serious health threat. But in rare cases, radiation can lead to
infertility or cancer later in life:
- Infertility. Radiation
therapy for testicular cancer has also been connected with permanent
infertility in some men. Because the majority of men diagnosed with testicular
cancer are younger than 35, fertility issues are often an important part of the
decision about which treatment to receive. Even though most radiation treatment
programs do not permanently affect healthy sperm counts, many health
professionals recommend sperm banking before radiation
therapy, for those men who may wish to have children in the
future.
- Another cancer. Radiation therapy,
although focused on cancer cells, also exposes many of the body's healthy cells
to harmful radiation. Because many men who undergo successful treatment for
testicular cancer go on to live for decades, damage to the body's healthy cells
caused by radiation may not become apparent until many years after treatment is
completed. Although rare, secondary cancers resulting from radiation therapy
may include
leukemia, as well as cancers of the colon, bladder,
kidneys, and prostate.
Complementary therapies
In addition to conventional medical treatment, complementary
therapies may improve the quality of your life by helping you manage the stress
and side effects of cancer treatment. However, these complementary therapies
should not replace standard therapy.
Before you try any of these therapies, discuss their possible
benefits and side effects with your health professional. Let him or her know if
you are already using any such therapies. For more information, see the topic
Complementary Medicine.