%0 Journal Article
%T Contemporary Role of Radiation Therapy in Testicular Cancer.
%A Shiao JC
%A Shen X
%J Urol Clin North Am
%V 51
%N 3
%D 2024 Aug
%M 38925742
%F 2.766
%R 10.1016/j.ucl.2024.03.008
%X Testicular cancer is a rare but curable male malignancy. Seminoma represents the majority of germ cell tumors and is considered radiation sensitive. Radiation treatment plays a role in adjuvant therapy after orchiectomy of stage I, IIA, and IIB seminomas. Radiation dose de-escalation has been effective in preventing tumor recurrences while also limiting acute and long-term toxicities. However, long-term risks, including the prevailing concern of secondary malignancy risk, between adjuvant radiation and chemotherapy play a role in recommendations. Ongoing work continues to be performed to reduce radiation field and dose in combination with chemotherapy while still maintaining excellent outcomes.