Short communication, Note
https://doi.org/10.2478/10004-1254-62-2011-2127
Side Effects of Adjuvant Radiotherapy in Men with Testicular Seminoma Stage I
Marija Gamulin
; Clinical Hospital Centre Zagreb, Department of Oncology, Zagreb, Croatia
Mislav Grgić
; Clinical Hospital Centre Zagreb, Department of Oncology, Zagreb, Croatia
Vesna Bišof
; Clinical Hospital Centre Zagreb, Department of Oncology, Zagreb, Croatia
Abstract
In this study we followed up the side effects of adjuvant radiotherapy in patients with testicular seminoma stage I over a period from 13 to 84 months (median 28 months). The most frequent side effects during
radiotherapy were gastrointestinal (nausea/vomiting), psychological, cognitive, and minor sexual problems.
The reported side effects were treated by antiemetics and anxiolytics.
After radiotherapy, the side effects persisted in 6 % of patients, but only a few of them required additional treatment. Healthy children were born to 76 % of patients in the 18 to 39 years age group. This study shows that adjuvant radiotherapy of the para-aortic lymph nodes with the total dosage of 24 Gy in 16 daily fractions administered to testicular seminoma patients causes acceptable side effects, does not adversely affect quality of life and fertility, if the approach to treatment is individual and family consulting is provided.
This makes adjuvant radiotherapy of the para-aortic lymph nodes an acceptable treatment for testicular seminoma stage I patients.
Keywords
early stage seminoma; follow-up; para-aortic radiotherapy; quality of life; radiation toxicity
Hrčak ID:
71771
URI
Publication date:
23.9.2011.
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