Nonseminom

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A non-seminoma is a malignant testicular tumor . It is a collective term for all malignant testicular tumors that are not seminomas .

A distinction is made between different types of tissue in the non-seminome

or from a wide variety of combinations of these tumor tissues.

treatment

First there is an orchiectomy, a relatively simple and safe surgical procedure. The testicle affected by testicular cancer is exposed and completely removed via the groin. This operation is performed under general anesthesia. This is one of the most important things you should do when you have testicular cancer

The remaining healthy testicle takes over the function of the removed testicle. As a result, long-term side effects such as infertility, impotence or impairment of sexual experience through orchiectomy do not occur.

After that, the following treatment methods are available (depending on the stage of the tumor):

  1. Wait-and-see strategy
    1. no further treatment of the non-seminoma, waiting and close checks
    2. The risk of relapse in a non-seminoma is particularly high if tumor cells have already invaded the testicular vessels, i.e. a vascular invasion has taken place. A wait-and-see strategy is not advisable here and it is advisable to use one of the preventive measures.
  2. Preventive action
    1. Surgery (RLA) of the non-seminoma patient: The retroperitoneal lymphadenectomy (RLA) is an operation in which the lymph nodes in the back of the abdomen are removed.
    2. Chemotherapy of the non-seminoma patient: There is chemotherapy with two to three drugs (cytostatics) for a period of six weeks. If there is already a vascular invasion, chemotherapy is the safest therapy method.
  3. Immediate treatment of the non-seminoma patient with chemotherapy in the following circumstances:
    1. There are already lymph node metastases .
    2. There are already resettlements in other organs

Individual evidence

  1. ↑ M. Retz et al. a: Drug tumor therapy in uro-oncology. Gabler Wissenschaftsverlage, 2010, ISBN 978-3-642-10380-3 , p. 12ff. (on-line)
  2. ^ H. Rübben: uro-oncology. Gabler Wissenschaftsverlage, 2009, ISBN 978-3-642-01381-2 , p. 645ff. (on-line)