A.V. Sakalo
Treatment of patients with testicular seminoma clinical stage I (literature review)
SUMMARY
Objective: To evaluate current methods and new trends in the treatment of patients with clinical stage I of seminoma.
Materials and Methods. Analysis of current research papers on the role of radiation therapy, chemotherapy, and orchiectomy tactics only with follow-up in patients with testicular seminoma I stage.
Results. Radiation therapy significantly reduces the risk of recurrence, but increases the risk of secondary tumors induced in the radiation zone. Carboplatin monotherapy (1 or 2 cycles) is also highly effective, but in most cases it is used unnecessarily. The most promising is the use of risk-adapted treatment based on an analysis of prognostic factors.