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Testicular cancer is cancer originating in the testicles, a part of the male reproductive system. The malignant cells form in tissues of one or both testicles. It is a rare cancer but is often diagnosed in young men. The risk of developing testicular cancer in men increases with a family or personal history of testicular cancer, an undescended testicle, or having an abnormally developed testis. Most testicular cancers are curable, even if diagnosed at advanced stages. The cancer is treated with Surgery, Radiation Therapy, Chemotherapy, or High-dose Chemotherapy with Stem Cell Transplant. Individuals who have undergone testicular cancer treatment may experience infertility.
Consult our urologists if you need Testicular Cancer Treatment in Broadway, Kolkata.
Treatments for testicular cancer include surgery, chemotherapy and radiation. Experience world-class healthcare at Manipal Hospitals.
Most testicular cancer develops in the germ cells that produce sperm. Therefore, testicular cancer is classified as seminoma and non-seminoma cancer. Seminomas typically grow slowly, whereas non-seminomas grow at a quicker rate. Seminomas treatment includes Radiation or Chemotherapy. For non-seminomas, treatment includes Chemotherapy and Surgery to remove lymph nodes in the retroperitoneum.
Testicular cancer typically affects young men between the ages of 20 to 40. The cancer rarely develops in young boys or older men.
Testicular cancer can cause one or more of the following symptoms:
A lump or swelling in either testicle
Discomfort or pain in either testicle
Testicular enlargement
Dull ache, pain, or heaviness in the scrotum
An ache in the groin, lower abdomen, or shoulder
Breast tissue swelling
Some patients with testicular cancer can be asymptomatic. If you experience any of the above symptoms, visit Manipal Hospitals, Broadway, Kolkata, for diagnosis and treatment.
You can perform self-checks while taking a bath. Stand in front of a mirror and look for any signs of swelling in the testicles. Support each testicle with one hand and feel the testicles with your other hand. While rolling the testicles between the thumb and fingers feel lumps, which may be grain size or firm. Also, check the areas of tenderness. If you notice any changes or feel a lump, contact your doctor immediately.
If an individual is suspected of having testicular cancer, a variety of tests, including ultrasound are recommended. The ultrasound helps determine if the lumps are solid or filled with fluids or whether the tumour is inside or on the testicle. Based on ultrasound reports, a blood test may be ordered to look for tumour markers.
Surgery is the mainstay of treatment for an individual diagnosed with testicular cancer. More advanced stages of testicular cancer are treated with Chemotherapy and Radiation.
Surgery: Radical Inguinal Orchiectomy is the main procedure to treat testicular cancer. The procedure helps remove cancerous testicles through a small incision in the groin.
Surgery alone helps treat testicular cancer. After the surgery, doctors monitor the patients with tests and exams. Additional treatment is not needed until the cancer returns. If the cancer has spread to lymph nodes, an additional procedure of retroperitoneal lymph node dissection is performed
Chemotherapy: The treatment helps kill the remaining cancer cells after surgery or control the spread of cancer.
Radiation Therapy: The procedure helps treat testicular cancer that has spread to lymph nodes.
Testicular cancer often develops in one testicle. This allows the other testicle to continue generating testosterone and function normally. If one testicle is removed surgically, many men can retain their fertility. However, if both testicles are surgically removed, the patient will not maintain fertility. Other factors like Radiation Therapy and Chemotherapy can temporarily reduce fertility. Testicular cancer itself can affect the patient’s fertility.
Testicular cancer often spreads to lymph nodes close to the testicles. In advanced stages, testicular cancer metastasised to lymph nodes in the neck, chest, or pelvis. The metastasis is also found in the lungs, bones, liver, and brain.
Side effects of chemotherapy for testicular cancer include:
Increased chance of infection
Fatigue
Easy bruising or bleeding
Mouth sores
Constipation or diarrhoea
Hair loss
Decreased appetite
Nausea and vomiting
Testicular cancer is highly treatable. The survivability rate of testicular cancer is 99% when caught early. The overall survivability rate is 95%.
Testicular cancer can recur after being in remission. However, the risk of cancer recurrence is low for early-stage cancers.
Regular follow-ups are important for men who have been treated for testicular cancer due to the high possibility of recurrence. Generally, patients have to undergo regular blood tests to measure their tumour marker levels. They must also undergo CT scans and X-ray exams regularly.
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