Stage - II testicular Teratoma is treated by:
STAGING AND TREATMENT Stage Extent of disease Seminoma Teratoma IA Testis only, without vascular or lymphatic invasion (T1) Radiation therapy RPLND or observation IB Testis with vascular or lymphatic invasion (T1), or ex-tension through tunica albuginea (T2), or involvement of sprematic cord (T3), or scrotum (T4) Radiation therapy RPLND IIA Nodes <= 2 cm (N1), S0/S1 Radiation therapy RPLND OR chemotherapy followed by RPLND IIB Nodes > 2-5 cm (N2), S0/S1 Radiation therapy RPLND +- adjuvant chemotherapy or chemotherapy followed by RPLND IIC Nodes > 5 cm (N3), S0/S1 Chemotherapy Chemotherapy followed by RPLND IIf Distant metastasis Chemotherapy Chemotherapy followed by surgery (biopsy or resection) Is Only serum tumor markers are raised (S1 to S3) Chemotherapy Chemotherapy STAGE Seminoma non Seminoma upto 2nd b Radiation therapy RPLND +- adjuvant chemotherapy above 2nd b Chemotherapy Chemotherapy followed by surgery (biopsy or resection)
Orchidectomy + RPLND
Orchidectomy + Chemotherapy
Orchidectomy
Radiotherapy
Testis and scrotum