What Is Testicular Cancer?
In most cases, testicular cancer develops in one testicle. Early diagnosis significantly increases the likelihood of successful treatment and complete recovery.
What Causes Testicular Cancer?
The exact cause of testicular cancer is not fully understood. However, several factors are known to increase the risk of developing the disease.
Risk factors for testicular cancer include:
- Undescended testicle (cryptorchidism)
- Family history of testicular cancer
- Previous history of testicular cancer
- Genetic predisposition
- Certain congenital urogenital abnormalities
- Higher incidence among Caucasian men
- Young age, particularly between 15 and 40 years
What Are the Symptoms of Testicular Cancer?
The most common symptom of testicular cancer is a painless lump or swelling in the testicle. Some patients may also experience additional symptoms.
Symptoms of testicular cancer include:
- Painless swelling or lump in the testicle
- Hardening of the testicle
- Changes in testicular size
- Feeling of heaviness in the scrotum
- Pain or discomfort in the groin area
- Lower abdominal pain
- Enlargement of breast tissue (gynecomastia)
- Back or lower back pain in advanced stages
These symptoms do not always indicate testicular cancer. However, any noticeable change in the testicles should be evaluated by a urology specialist.
How Is Testicular Cancer Diagnosed?
The diagnosis of testicular cancer is based on a combination of physical examination, imaging studies, and laboratory tests.
Diagnostic methods include:
- Physical examination
- Scrotal ultrasound
- Tumor marker blood tests (AFP, Beta-hCG, LDH)
- Computed tomography (CT)
- Magnetic resonance imaging (MRI)
- PET/CT scans when necessary
A definitive diagnosis is usually established through pathological examination of the surgically removed testicular tissue.
Treatment options include:
Radical orchiectomy (removal of the affected testicle)
Chemotherapy
Radiation therapy
Retroperitoneal lymph node dissection (RPLND)
Active surveillance programs
The most appropriate treatment plan is determined individually for each patient.
The surgery plays a crucial role in both establishing a definitive diagnosis and initiating treatment.
Advantages of radical orchiectomy include:
Complete removal of cancerous tissue
Providing a definitive diagnosis
Assisting in accurate cancer staging
Helping guide further treatment planning
Benefits of testicular cancer treatment include:
High cure rates
Prevention of cancer spread
Increased life expectancy
Preservation of quality of life
Long-term disease control