<prompt> Treatment of seminoma is:High orchidectomy with radiotherapyRadiotherpyChemotherapy onlyTrans scrotal resection of testis  <response>: Ans: a High orchidectomy with radiotherapy Ref: Bailey Love, 24thed,p. 1411Treatment of testicular neoplasm involves high orchidectomy for tissue diagnosis and further management depending on the nature of tumour and the extent of lymphatic spread. So the obvious answer is high orchidectomy with radiotherapyStageExtent of diseaseSeminomaNonseminomaIATestis only, no vascular lymphatic invasion TlHigh orchidectomy with radiation therapyHigh orchidectomy RPLND or observationIBTestis only with vascular lymphatic invasion T2 or extension through tunica albugineaT2 or involvement of spermatic cord T3 or scrotum T4High orchidectomy with radiation therapyHigh orchidectomy with RPLNDIIANodes 2 cmHigh orchidectomy with radiation therapyHigh orchidectomy with RPLND or chemotherapy often followed by RPLNDIIBNodes 2 -5 cmHigh orchidectomy with radiation therapyHigh orchidectomy RPLND - adjuvant chemotherapy or chemotherapy followed by RPLNDIICNodes 5 cmHigh orchidectomy ChemotherapyHigh orchidectomy, chemotherapy, often followed by RPLNDIIIDistant metastasisHigh orchidectomy ChemotherapyHigh orchidectomy, chemotherapy, often followed by surgery biopsy or resectionTumorus of testis Seminoma 40: Bw 35 and 45 yrs Teratoma 32: Younger age group peak incidence bw 20 35 yrs Combined seminoma teratoma 14 Interstitial tumours 1.5 Lymphoma 7 : Men over 60 yrs Others 5.5Note:Transscrotal approach in neoplasm of testis is contraindicated because of early spread of malignancy to scrotal skin. 