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Testicular Cancer

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by LaRusso L

(Cancer of the Testicle; Cancer, Testicular; Seminoma; Germinoma)

 

Diagnosis

The doctor will ask about your symptoms and medical history, and perform a physical exam. Tests may include:
Once testicular cancer is found, tests may be done to find out if the cancer has spread and, if so, to what extent. These imaging tests of the body may include:
 

Treatment

Surgery

Surgery requires removing the cancerous testicle. This is done through an incision in the groin. The surgeon may also remove nearby lymph nodes to check for metastasis.

Radiation Therapy

Radiation therapy is the use of radiation to kill cancer cells and shrink tumors. Radiation therapy for testicular cancer comes from a machine outside the body that directs radiation at the abdomen.

Chemotherapy

Chemotherapy is the use of drugs to kill cancer cells. Chemotherapy may be given in many forms including: pill, injection, and via a catheter. The drugs enter the bloodstream and travel through the body killing mostly cancer cells, but also some healthy cells.
 

Prevention

If you were born with undescended testicles , having surgery to correct this condition may reduce your risk of getting testicular cancer.
The United States Preventive Services Task Force (USPSTF) does not recommend regular screening by a doctor or self-screening in men who do not have any symptoms. However, the American Cancer Society recommends that your doctor at your routine cancer-related check-ups should do a testicular exam. No studies have been done that look at the benefit or harm of screening for testicular cancer. Discuss screening with your doctor, especially if you are at high risk for testicular cancer.
Keep in mind that if you notice any symptoms of testicular cancer, such as a lump or swelling in the testicles, it is important that you see your doctor for an evaluation.
 

RESOURCES

American Cancer Society
http://www.cancer.org

CancerCare
http://www.cancercare.org

 

CANADIAN RESOURCES

Canadian Cancer Society
http://www.cancer.ca

Cancer Care Ontario
http://www.cancercare.on.ca

 

References


Can testicular cancer be found early? American Cancer Society website. Available at: http://www.cancer.org/Cancer/TesticularCancer/DetailedGuide/testicular-cancer-detection . Updated January 19, 2011. Accessed March 2, 2011.


General information about testicular cancer. National Cancer Institute, National Institutes of Health (NIH) website. Available at: http://www.cancer.gov/cancertopics/pdq/treatment/testicular/patient . Accessed July 2, 2008.


United States Preventive Services Task Force. Screening for testicular cancer. United States Preventive Task Force website. Available at: http://www.uspreventiveservicestaskforce.org/3rduspstf/testicular/testiculrs.pdf . Accessed March 2, 2011.


What causes testicular cancer? American Cancer Society website. Available at: http://www.cancer.org/docroot/CRI/content/CRI%5F2%5F2%5F2x%5FWhat%5FCauses%5FTesticular%5FCancer%5F41.asp?sitearea= . Updated December 4, 2007. Accessed July 2, 2008.


Walsh TJ, Dall'Era MA, Croughan MS, Carroll PR, Turek PJ. Prepubertal orchiopexy for cryptorchidism may be associated with lower risk of testicular cancer. J Urol . 2007 Oct;178(4 Pt 1):1440-6; discussion 1446.


3/3/2011 DynaMed's Systematic Literature Surveillance http://www.dynamicmedical.com/what.php : Ilic D, Misso M. Screening for testicular cancer. Cochrane Database Syst Rev . 2011;(2):CD007853.


2/1/2013 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : American College of Radiology. ACR Appropriateness Criteria. 2012; Jun 16. Available at http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/StagingTesticularMalignancy.pdf. Updated June, 2012. Accessed February 2, 2013.

 

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