Testicular cancer is the most common cancer for men ages 15 to 44 in the US and around the world. It’s cancer that forms from the cells that eventually turn into sperm in the testicles.
What is the common symptom of Testicular Cancer?
Most often testicular cancers felt during self-exam or a man feels a painless palpable lump in their testicles. However other signs can be a pain in the testicle, a painful mass, or a general enlargement of the scrotum or testicle. Occasionally it would present as a dullness, heavy, or aching pain. Very rarely in its more advanced stages, testicular cancer can present with back pain, a cough, or other symptoms around the body.
What does the evaluation for Testicular Cancer involve?
After feeling or noticing an abnormality, most men come to the doctor, the doctor will do a physical examination and then typically order an ultrasound. An ultrasound is an imaging technique that does not use radiation but can visualize inside the testicle to see if there’s any masses or abnormal growths. Most masses inside the testicles are cancerous. Most masses outside of the testicle, but in the scrotum are benign.
Are there certain risk factors for this type of cancer?
There are a number of risk factors for testicular cancer that the general population should be aware of. The first called cryptorchism. Or an undescended testicle. Most commonly diagnosed in young boys. And fixed before they hit puberty. But even! If an undescended Testical is fixed. That man is at increased risk for cancer throughout their lifetime. The second risk factor is family history. Particularly in men who’ve had brothers or fathers with testicular cancer. Best Weight Loss Pills For Women and Men
They’re at an increased risk of developing testicular cancer themselves. And the last one is something called intertubular germ cell neoplasia. Which is a fancy term for a precursor legion to testicular cancer? That’s most often diagnosed in men who are undergoing infertility evaluation.
What treatment options are available for testicles cancer?
The first treatment option for men. Who have testicular cancer is called a radical orchidectomy or surgical removal of the affected testicle. The first thing I would do is diagnosis testicular cancer and tell us what kind of testicular cancer it is. TOP 5 Best Weight Loss Pills 2019
Depending on the type of testicular cancer we’ll order specific staging examinations, which could include blood work, CT scans, chest x-rays, and that’ll tell us, depending on the stage and what kind of cancer, what treatment options are available.
What are the types of testicular cancer? And how they treated?
Testicular cancer falls under two major subtypes, one called seminoma and the other called non-seminoma. Seminomas are exquisitely responsive to chemotherapy and radiation therapy, and those are typically the main stages of therapy after orchiectomy. Non-seminomas come in a variety of flavours.
Some of those forms of non-seminomas are not as responsive to chemotherapy and will not respond to radiation therapy, so we often talk about chemotherapy and surgery as the treatment options for non-seminomas. Typically orchidectomy takes about an hour or less in the operating room.
Most men go home the same day. It’ll be particularly sore for two or three days while you recover. To properly do an orchidectomy, you basically give a young man a hernia and then fix that hernia. Most men will recover within two to four weeks and feel like a hundred per cent of themselves again.
Are there major side effects after an orchiectomy?
They’re really minimal side effects for an orchidectomy. The first is the discomfort that you may feel for two to four weeks after the operation. Very often men will feel some swelling or fluid or blood built up in the scrotum. And that’ll take a few weeks to return to normal also. Really you will get some numbness or tingling beneath the incision that’s associated with some nerves that’s run in the same area as the spermatic cord.
Why should a patient come to Johns Hopkins for treatment of testicular cancer?
There are a number of reasons we welcome men to Johns Hopkins for the management of their testicular cancer. The first is that we’re experts in all facets of the management of this disease and we can help you make the decisions and choose the treatments that are right for you. We’re also experts in the surgical management of this disease, from radical orchidectomy, partial orchidectomies, fertility treatments, and prosthesis placement, as well as retroperitoneal lymph node dissections done through both an open incision and a robotic approach.
Another important reason to come to Johns Hopkins is our focus on survivorship. The moment the man is diagnosed with testicular cancer. And the survivor of that disease and we keenly focus on helping that man and his family achieve all the things they wanted to do before they were diagnosed with testicular cancer.
That includes fertility evaluations, hormone evaluations, and a general focus on they’re well being for the rest of their life.