Chemotherapy uses anticancer, or cytotoxic, drugs to destroy cancer cells. It is sometimes used to treat testicular cancer. Your healthcare team will consider your personal needs to plan the drugs, doses and schedules of chemotherapy. You may also receive other treatments.
Chemotherapy is given for different reasons. You may have chemotherapy to:
Chemotherapy is usually a systemic therapy. This means that the drugs travel through the bloodstream to reach and destroy cancer cells all over the body, including those that may have broken away from the primary tumour in the testicle.
The following drugs and drug combinations may be used in chemotherapy for testicular cancer.
The most common chemotherapy combinations used to treat testicular cancer are:
In rare cases, carboplatin (Paraplatin, Paraplatin AQ) may be offered instead of radiation therapy or active surveillance after orchiectomy for stage I seminomas. In these cases, 1 or 2 cycles of carboplatin are usually given intravenously.
If testicular cancer doesn’t respond to the above drugs or if it recurs, the following chemotherapy combinations may be used. These are sometimes called salvage, or second-line, chemotherapy.
Mesna (Uromitexan) is a supportive drug that may be given to prevent urinary tract problems and protect the bladder from damage. It is often given when ifosfamide is used.
High-dose chemotherapy with carboplatin and etoposide may be used if testicular cancer recurs after it is treated with standard-dose chemotherapy. After high-dose chemotherapy, a stem cell transplant is done to replace the stem cells that are damaged or destroyed by high-dose chemotherapy. The stem cell transplant uses stem cells from your own blood (called autologous peripheral blood stem cell transplant).
Palliative therapy is given to relieve symptoms, rather than to treat the cancer itself. Gemcitabine (Gemzar) may be given with oxaliplatin (Eloxatin), paclitaxel or both as palliative treatment for seminomas or non-seminomas. Etoposide taken by mouth (orally) is also an option for palliative chemotherapy.
Details on specific drugs change quite regularly. Find out more about sources of drug information and where to get details on specific drugs.