The Fellow on Call: The Heme/Onc Podcast Episode 130: Testicular Cancer Series, Pt 4 - Role of Radiation Oncology
Mar 5, 2025
Dr. Amar Kishan, a radiation oncologist at UCLA, sheds light on the pivotal role of radiation therapy in testicular cancer treatment. He discusses essential studies needed before radiation appointments and the planning process for seminoma patients. Key concerns such as fertility, hormonal function, and the implications of radiation are addressed. The conversation also explores emerging therapies and the benefits of proton therapy, clarifying its advantages and aiming to minimize long-term health risks for younger patients.
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Amar Kishan's Wrestling Passion
- Dr. Amar Kishan shares his interest in professional wrestling, highlighting ringside tickets as a unique birthday gift.
- This personal hobby adds a relatable dimension to his radiation oncology expertise.
Pre-Appointment Imaging Guidance
- Send CT imaging and tumor markers like beta-HCG, LDH, AFP before radiation oncology appointment.
- Including fertility discussion is helpful for treatment planning in young patients.
Evolution of Radiation in Early Seminoma
- Radiation therapy has evolved from broad to highly targeted fields with dose reduction in early stage seminoma.
- Active surveillance is preferred for most patients due to low relapse risk and long-term toxicity concerns.