Testicular Cancer Symptoms, Diagnosis and Treatment
Testicular Cancer
Testicular cancer occurs in approximately 1 in 25,000 men per year. It is 4 times less common in Afro-American men compared to Caucasian men. The risk of developing testicular cancer in a man's lifetime is approximately 1 in 500. It occurs most commonly between the ages of 15 and 40 years. It can also occur in infancy and late adulthood (e.g. over 60 years old). Individuals who have had an undescended testicle are at higher risk of developing testicular cancer.
How is Testicular Cancer Diagnosed
The best way to diagnose testicular cancer is through self-examinations. The usual initial finding is a painless lump in or on the testis, a hardness or enlargement of the testis. Less commonly there is associated pain and tenderness. If problems do occur and an individual is concerned due to tenderness, bloody discharge or a lump for some symptoms they should see a urologist. The urologist will do a physical examination and possibly order a testicular ultrasound.
Non-cancerous masses found around the testicle can be fluid collections or cysts. In addition, dilation of some of the veins in the scrotum ( varicocele ) or cord leading to the testicle can create a mass effect. If there are any abnormalities that can be palpable, a visit to a physician may be required to establish the significance of the findings.
How is Testicular Cancer Treated
Surgery-After the diagnosis of a solid testicular mass has been made, the initial management is removal of the testis and its associated cord, orchiectomy. This is done through a small inguinal incision. The testis and abnormal tissue present is then examined under the microscope to determine the type of cancer. Depending on the cell type of the cancer present, other therapies such as additional surgery, radiation therapy or possibly chemotherapy may be indicated.
Using a combination of these therapies, testicular cancer has one of the highest cure rates of all cancers. This has been achieved using a combination of surgery and chemotherapy as well as radiation in certain instances. Cures from testicular cancer can even be achieved in individuals who have had spread of the cancer into other parts of the body.
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