Tratamiento del cáncer de testículos y alternativas para preservar la fertilidad

Written by: Dr. Javier García del Muro Solans
Edited by: Patricia Fernández Ramos

Testicular cancer is one of the most aggressive variants. As in most cancers, it is essential for the patient to go to the urologist when he appreciates a remarkable increase in the size of a testicle, to approach the disease as soon as possible. Treatment will require orchidectomy or removal of the testicle, so presently there are techniques for preserving fertility.


Early detection of testicular cancer

Testicular cancer is an aggressive tumor that, if not diagnosed early, progresses rapidly. It affects, mainly, men between 15 and 35 years. However, despite being a serious disease, with adequate treatment the percentage of patients who are cured exceeds 90%.

The main symptom that makes one suspect of this type of cancer is a remarkable increase of size of a testicle. In most cases, but not at all, they are initially painless. However, the occurrence of this increase in testicular size necessitates consultation with a urologist, to confirm or rule out the suspicion of cancer.


Rapid diagnosis of testicular cancer

The diagnosis of testicular cancer begins with an examination by the urologist to rule out or confirm the tumor. If an abnormal mass is detected on the palpation, an emergency ultrasound will be performed to clarify the diagnosis.


Personalized Treatment for Testicular Cancer

Treatment of testicular cancer requires the removal of the affected testicle or orchidectomy , which must be performed by a urologist trained in surgery. After the analysis of the excised tissue, the medical oncologist will assess the progression of cancer. They will be chest and abdomen imaging tests by computerized axial tomography (CT), in addition to a blood test with tumor markers, tests that help to determine if the cancer has spread to other organs.

The patient at high risk of relapse receives two sessions of chemotherapy after orchidectomy. This will reduce the risk of cancer recurrence to less than 5%. Once these chemotherapy sessions are practiced, the patient should be followed up with periodic appointments, every three months for the first two years.

If there is metastasis, a chemotherapy treatment should be started urgently with a duration of about four months. If a tumor lesion is still present on diagnostic imaging tests at the end of chemotherapy sessions, a surgical procedure will be performed to remove it.

It should be noted that, since the treatment with chemotherapy entails risk of infertility, the possibility of cryopreserving semen. This will allow the patient to have children, if he / she wishes, years after the cancer has been treated. Another alternative is the possibility of placing a testicular prosthesis.

Cryopreservation semen
With the cryopreservation of semen it is possible to preserve the fertilityAfter treating cancer of testicles 


*Translated with Google translator. We apologize for any imperfection

By Dr. Javier García del Muro Solans
Medical Oncology

Unit Director of Genitourinary Cancer and Sarcoma Unit Cancer Institute Baselga (IOB), Dr. Garcia del Muro Solans specializes in bladder cancer, kidney cancer, prostate cancer and testicular germ cell tumors, as well as soft tissue sarcomas, bone and GIST (gastrointestinal stromal tumor). It is also medical coordinator of the Multidisciplinary Unit sarcomas Catalan Institute of Oncology (ICO) and Head of urological tumors and sarcomas of Medical Oncology at the same center. Doctor cum laude in Medicine, is associate professor of clinical oncology at the Medical Faculty of the University of Barcelona (UB). He has published over 70 research papers on genitourinary tumors and sarcomas in several international magazines.


*Translated with Google translator. We apologize for any imperfection

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