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.