Other Treatment
Radiation therapy is a common
treatment for
seminoma germ-cell tumours. 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.