Alternate Treatment for Testicular Cancer

Among men with Stage I seminoma (a type of testicular cancer), post-surgery treatment with a single dose of the chemotherapy drug carboplatin is as effective as two to three weeks of radiation therapy, and also reduces the risk of cancer in the other testicle.

Patients with Stage I seminoma have a primary cancer that is limited to the testes. This stage of seminoma is curable in more than 95% of individuals.

The primary treatment of Stage I seminoma by a specialist cancer centre is to do a a surgical removal of the cancer by orchiectomy. Following surgery patients may receive additional treatment (such as radiation therapy) to reduce the risk of cancer recurrence or close surveillance to detect recurrence at an early stage.

Although radiation therapy is a standard treatment option, some studies have suggested that one or two doses of chemotherapy may be equally as effective. Chemotherapy may also offer the advantage of being more convenient and better tolerated.

To compare radiation therapy to a single dose of chemotherapy, researchers conducted a clinical trial among 1,477 men with Stage I seminoma. After surgery, the men were assigned to receive additional treatment with either two to three weeks of daily radiation therapy or a single dose of the chemotherapy drug carboplatin.

  • Risk of cancer recurrence was similar in the two study groups: 5% of men in the chemotherapy group and 4% of men in the radiation therapy group experienced a cancer recurrence.
  • Men in the chemotherapy group were less likely than men in the radiation therapy group to develop cancer in the opposite testicle.
  • Men in the chemotherapy group were also less likely to report feeling lethargic as a result of treatment.

These results suggest that men with Stage I seminoma have more than one effective option for reducing the risk of cancer recurrence.

Teaching Children the Importance of Good Sportsmanship

How do you bring up your child to believe in good sportsmanship when so often it seems like ‘win at all costs’ is the only mentality that matters? There are several issues that you can focus on, starting with being a good role model yourself and showing good sportsmanship when your child’s team are playing.

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Decide on Your Values

However, being able to demonstrate good sportsmanship for your child depends on being clear on your own values. Think about what good sportsmanship means to you. Is it applauding the opposing team when they score a great goal? When you’re watching sport on TV, do you criticise decisions you think are made against your team? You need to be clear on what values you want to pass on to your child.

Take Time to Listen

Now talk to your child about how they feel about their involvement in sports. Listen actively and encourage them to explore their feelings about what is fair and right. And give your child reassurance that what they’re feeling is valid.

A Code of Conduct

Deciding on a code of conduct can be very valuable for instilling values of good sportsmanship. There are model codes available. You could encourage parents and coaches to come together and develop a code that is relevant to your kids.

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Walk the Walk

The worst thing you can do is pay lip service to good sportsmanship. For example, if you’re watching a coaching session and the coach is using a rugby drill video from a supplier like https://www.sportplan.net/drills/Rugby/, you need to be aware of your reactions to what’s happening on the pitch. Don’t denigrate the coach if you think he’s using the video in the wrong way or mock your child for not tackling the drill correctly.

You Set the Rules

Ultimately, if you see your child engaged in poor sportsmanship, it’s up to you to deal with the situation and to make it clear that their behaviour is unacceptable. Likewise, if the coach is letting poor sportsmanship slide or even encouraging it, you need to have the courage to confront them. But have a quiet word in private rather than reinforcing bad sportsmanship. Set a good example and your kids will follow.

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