Now we come to the Non-seminoma testis treatment.
The treatment options for stage 1 non-seminoma are surveillance, surgery or chemotherapy. Surveillance is usually preferred in T1 disease.
The surgery that is done for non-seminomatous germ cell tumors is called as retroperitoneal lymph node dissection or RPLND. Treatment for stage 2 non-seminoma depends on whether the markers are S0 or S1, that is whether they are normal or elevated. If the markers are elevated, then chemotherapy is the treatment of choice. For stage 2 disease with normal markers, the treatment depends on whether it is stage 2A, 2B or 2C. For stage 2A disease, the treatment options are surgery or chemotherapy.
For stage 2B disease also, the treatment options are the same, but chemotherapy is preferred over surgery. And for stage 2C disease, chemotherapy is the treatment of choice. For stage 3 disease also, chemotherapy is the treatment of choice. So, these were the treatment options for non-seminomatous germ cell tumors.
Again, always remember that of all the treatment options the final decision is taken by the oncologist, after assessing the condition of the patient and discussing the various treatment option with the patient.
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