Treatment of Local Disease in Testicular Cancer

  • Julia HeinzelbeckerEmail author
Living reference work entry


The primary treatment of local disease in testicular cancer has hardly changed during the last 100 years. High inguinal orchiectomy still represents the standard of care. The histological results of the operation together with the staging analysis and tumor markers form the basis for the further adjuvant treatment of testicular cancer. The implementation of a biopsy of the contralateral testis at the time of inguinal orchiectomy for the diagnosis or exclusion of germ cell neoplasia in situ (GCNIS) still remains controversial. In specific conditions such as synchronous and metachronous testicular cancer or a solitary testis, testis-sparing surgery followed by radiation therapy has gained wide acceptance. At the time of inguinal orchiectomy, the implantation of a testicular prosthesis can be offered safely to the patient.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Urology and Pediatric UrologySaarland University Medical CenterHomburg/SaarGermany

Section editors and affiliations

  • Chris Protzel
    • 1
  • Axel Heidenreich
    • 2
  1. 1.Universitätsklinikum Rostock , Urologische Klinik und PoliklinikRostockGermany
  2. 2.Division of Oncological Urology, Department of UrologyUniversity of KölnKölnGermany

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