Our testicular cancer treatments
Surgery to remove the affected testicle can cure testicular cancer. But sometimes, you need other treatments if the cancer has spread or to prevent its return.
The best treatments for you are often highly personal — and our doctors take the time to make sure you understand the risk and benefits of all your options.
Our testicular cancer treatments include:
Surgery to remove a testicle is called radical inguinal orchiectomy. It is an essential part of your treatment plan. During this surgery, surgeons remove the testicle with cancer and any affected lymph nodes.
Your doctor may also recommend chemotherapy or radiation after surgery (called adjuvant therapies) even if orchiectomy removes all visible cancers. This additional treatment ensures that we kill any remaining cancer cells.
Learn more about testicular cancer surgery.
Advances in chemotherapy have dramatically improved the survival rate of testicular cancer over the last several decades. Chemotherapy uses drugs to attack and kill cancer cells. It is systemic, meaning it affects cells throughout your body.
You may receive adjuvant chemotherapy to treat metastatic testicular cancer. These drugs are injected under the skin or into a vein or muscle.
For chemotherapy to be effective, it should be tailored to you. Our oncologists are known for their expertise in determining which drugs will be the most effective in each person.
Rarely, testicular cancer doesn’t respond to standard therapies. Or cancer may return after treatment. In these cases, high-dose chemotherapy with stem cell transplant can be effective.
Chemotherapy works by destroying rapidly multiplying cancer cells. But many of the body’s healthy cells multiply quickly, too. That’s why chemo doses must walk a delicate balance to be safe: People need enough medication to kill cancer cells but not harm too many healthy cells.
Stem cell transplants make it possible for patients to receive higher, more effective doses of chemotherapy. Before the chemo regimen, doctors harvest stem cells from your bloodstream to protect them from the chemo drugs. They then put them back into your body after chemotherapy.
Forty percent of testicular cancers are seminomas. Because seminomas are more sensitive to radiation, you may receive adjuvant radiation to:
- Prevent the cancer from returning (recurrence)
- Treat any cancer cells that remain after surgery
Radiation therapy uses high-energy radiation to kill cancer cells. Radiation oncologists direct the radiation beams at lymph nodes in the abdomen (belly) where the cancer may spread.
We offer the latest radiation equipment, technology and treatments available to treat testicular cancer. Some of these advanced therapies include image-guided radiation therapy, intensity-modulated radiation therapy and proton therapy.
Not every male with early-stage testicular cancer needs more treatment after surgery. Instead, we use personalized active surveillance plans to check for cancer recurrence.
In our large active surveillance program, patients undergo regular imaging and blood tests. This approach helps males avoid overtreatment and short- and long-term treatment side effects. Learn more about testicular cancer surveillance.