Controversies in the management of clinical stage i testicular seminoma

Abstract

International audienceStage I seminoma is the most frequently occurring single stage/histology of testicular cancer, comprising up to 80% of seminomas. Seminomas comprise about 40% of all testicular cancers. Its management is controversial, several treatment options after orchiectomy are considered. These are surveillance, radiation alone or chemotherapy alone. Active surveillance (with treatment upon relapse), adjuvant irradiation, and adjuvant carboplatin, each achieve an overall survival approaching 100%. In this article, we review the existing literature and recent recommendations for the various treatment options, and their advantages and disadvantages