Medication
Treatment for testicular cancer is based mainly on the type and stage of the cancer. Among the different stages of germ cell tumors, pure seminomas tend to be treated one way, and non-seminomas and mixed germ cell tumors are treated another way.
Procedures
See a list of publications on testicular cancer by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine.
Therapy
In 2017, Mayo Clinic will create a testicular cancer registry at Mayo Clinic. Research resulting from this registry will help to advance the science of and patient care in testicular cancer. See a list of publications on testicular cancer by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine.
Nutrition
Imaging tests (CT scans and sometimes chest x-rays) are done every 3 months for 6 months, and then once or twice a year. If these tests do not find any signs that cancer has spread beyond the testicle, no other treatment is needed. If the cancer has spread, treatments like radiation or chemo may be used.
What is the treatment for testicular cancer?
Where can I find a list of publications on testicular cancer?
Does the Mayo Clinic have a testicular cancer registry?
How often should testicular cancer be checked?
What is the best hospital for testicular cancer?
Your Mayo Clinic care team At Mayo Clinic, urologists, oncologists, radiation oncologists, pathologists and radiologists work as a multidisciplinary team to provide comprehensive care for boys and men with testicular cancer.
Who can I consult for testicular cancer?
If your doctor suspects you could have testicular cancer, you may be referred to a doctor who specializes in diagnosing and treating conditions of the urinary tract and male reproductive system (urologist) or a doctor who specializes in treating cancer (oncologist).
Where do I go if I think I have testicular cancer?
See a GP as soon as possible if you notice a swelling, lump or any other change in 1 of your testicles. Most lumps within the scrotum are not cancerous, but it's important to get checked as soon as possible. Treatment for testicular cancer is much more effective when started early.
How much does testicular cancer treatment cost?
The average cost of the detection, treatment, and surveillance for an early-stage seminoma and NSGCT is $17,283, and $26,190, respectively, (scenarios E and F) with patients electing to undergo postorchiectomy chemotherapy or RPLND further increasing the cost (Fig.
Does a urologist treat testicular cancer?
Urologists are surgeons who focus on the urinary tracts of males and females, and on the reproductive system of males, including problems with the testicles. For patients with testicular cancer, a urologist will perform the surgery to remove your tumor.
What happens if testicular cancer goes untreated?
nce testicular cancer develops, it can remain within the testicle, or it can spread to lymph nodes in the abdomen or pelvis. If it is not detected and treated, testicular cancer eventually can spread to the lungs, brain, liver, and other parts of the body.
What are 5 warning signs of testicular cancer?
You should contact your doctor if you experience any of the following:Swelling, pain or discomfort in the scrotum.A lump or swelling in either testicle, usually painless.Pain or discomfort in a testicle.A change in how a testicle feels.A dull ache or heaviness in your lower abdomen or groin.
Is testicular cancer a death sentence?
Testicular cancer is a highly treatable cancer. The survival rates are one of the highest of all the cancers. It is a diagnosis and not a death sentence. The overall survival rate is greater than 95%.
What kind of doctor treats testicular problems?
You might be referred to a specialist in urinary tract and male genital disorders (urologist). Preparing for your or your child's appointment with your doctor or a urologist will help you make the most of your time with the doctor.
How long do you stay in hospital after testicle removal?
After the surgery You can usually go home later that day but might need to stay in hospital overnight. Your groin and scrotum may be uncomfortable for a week or so. You might need to take mild painkillers. Most men can go back to normal activities, including work, after 2 weeks.
Can you cure testicular cancer without removing testicle?
If there's a high suspicion that the cancer might be a testicular choriocarcinoma, chemo may be started without a biopsy or surgery to remove the testicle. If the cancer has spread to the brain, surgery (if there are only 1 or 2 tumors in the brain), radiation therapy aimed at the brain, or both may also be used.
How painful is testicular removal?
Most men will have discomfort requiring pain medicine for 1-2 weeks. After this time, the pain usually diminishes considerably, although there may be certain times of day when discomfort is worse. Many men experience the greatest discomfort when sitting or at night. A dull ache or soreness is common for 6-8 weeks.
Carcinoma in Situ (Stage 0) Testicular Tumors
In this stage, the cancer has not spread outside the testicle, and your tumor marker levels (like HCG and AFP) are not elevated. If CIS is diagnose...
Stage III Seminomas and Non-Seminomas
Even though stage III tumors have spread by the time they are found, most of them can still be cured.Both stage III seminomas and non-seminomas are...
Recurrent Testicular Cancer
If the cancer goes away with treatment and then comes back, it's said to have recurred or relapsed. If this happens, it’s usually within the first...
Sertoli Cell and Leydig Cell Tumors
Typically, radical inguinal orchiectomy is the treatment for Sertoli cell and Leydig cell tumors. Radiation therapy and chemo generally don't work...
More Treatment Information For Testicular Cancer
For more details on treatment options – including some that may not be addressed here – the National Comprehensive Cancer Network (NCCN) and the Na...
What is stage 0 testicular cancer?
Carcinoma in situ (stage 0) testicular tumors. In this stage, the cancer has not spread outside the testicle, and tumor marker levels (like HCG and AFP) are not elevated. If CIS is diagnosed after surgery removes the testicle, no other treatment is needed. If CIS is found after a testicular biopsy (such as for fertility problems), ...
How often do you have to watch for stage 2 seminoma?
The doctor will then watch closely (every 3 to 6 months) for any signs that the cancer has come back .
What is the treatment for stage 2 seminoma?
Stage IIA seminomas. Radiation: After surgery to remove the testicle (radical inguinal orchiectomy), one treatment option is radiation to the retroperitoneal lymph nodes. These are the lymph nodes at the back of the abdomen (belly). Usually stage II seminomas are given higher doses of radiation than stage I seminomas.
What is the procedure to remove lymph nodes?
If tumor marker levels are normal, there are 2 main options: Retroperitoneal lymph node dissection (RPLND): This is surgery to remove the lymph nodes at the back of the abdomen. If the lymph nodes that were removed contain cancer, chemo (typically for 2 cycles) might be given.
How to treat recurrent germ cell tumors?
Cancer that comes back in the retroperitoneal lymph nodes can be treated by surgery to remove the nodes (RPLND) if the recurrence is small and if the only surgical treatment given before was orchiectomy.
Where is seminoma most often found?
These are most often in the lung or in the retroperitoneal lymph nodes. Further treatment at this point depends on the type of cancer: A stage III seminoma that's still there after chemo or doesn’t “light up” on a PET scan, will be watched with CT scans to see if it grows. If it does, more treatment is needed.
Can chemo cure cancer?
The cancer will come back in about 15% to 20% of patients, most often as spread to lymph nodes, but if it does, radiation or chemo can still usually cure the cancer. Radiation therapy: Radiation aimed at para-aortic lymph nodes is another option.
Where is Mayo Clinic located?
Mayo Clinic has one of the largest and most experienced practices in the United States, with campuses in Arizona, Florida and Minnesota. Staff skilled in dozens of specialties work together to ensure quality care and successful recovery.
Is Mayo Clinic a cancer center?
The Mayo Clinic Cancer Center receives funding from the National Cancer Institute and is designated as a comprehensive cancer center — recognition for an institution's scientific excellence and multidisciplinary resources focused on cancer prevention, diagnosis and treatment. In 2017, Mayo Clinic will create a testicular cancer registry ...
Is there a testicular cancer registry?
In 2017, Mayo Clinic will create a testicular cancer registry at Mayo Clinic. Research resulting from this registry will help to advance the science of and patient care in testicular cancer.
Byron Joyner, MD
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Donald Pick, MD
Donald Pick, MD is an Urologist in Seattle, WA. Donald Pick was board certified by the American Board of Urology.
Robert Finnerty, MD
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Lora Plaskon, MD
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