Treatment FAQ

why is treatment longer for boys w/ testicular cancer

by Nakia Quitzon Published 2 years ago Updated 2 years ago

Medication

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.

Procedures

Feb 11, 2022 · Deaths: 460. Testicular cancer is a highly treatable, usually curable, cancer that most often develops in young and middle-aged men. Most testicular cancers are germ cell tumors. For treatment planning, germ cell tumors are broadly divided into seminomas and nonseminomas because they have different prognostic and treatment algorithms.

Therapy

Sep 23, 2021 · Testicular cancer is a disease in which malignant (cancer) cells form in the tissues of one or both testicles. There are two types of testicular tumors. Signs and symptoms of testicular cancer include a painless lump in the testicles or early puberty. Tests that examine the testicles are used to help diagnose non-germ cell testicular cancer.

Nutrition

Cancer Concerns After Treatment. Treatment may remove or destroy the cancer, but it's very common to have questions about cancer coming back or treatment no longer working. Second Cancers After Testicular Cancer.

How should children and adolescents with testicular cancer be treated?

Testicular tumors rarely happen in boys before puberty. The odds of a boy having a testicular tumor are about 1 in 100,000. In infants and boys, testicular tumors make up about 1 to 2% of all tumors. On the other hand, testicular cancer is the most common cancer in …

Can testicular cancer be cured?

Nov 20, 2014 · The treatment of testicular cancer is a success story in oncology. With available methods, 95% of men with this condition can be cured. Emphasis is shifting toward maintaining high cure rates and r...

Can undescended testis before puberty reduce the risk of testicular cancer?

Apr 05, 2016 · Among men who have had undescended testis, the risk of cancer is increased two to eight times, and 5 to 10% of all men with testicular cancer …

What is the survival rate of testicular cancer after chemotherapy?

May 15, 2016 · Testicular cancer refers to an abnormal growth of malignant cells within the testes, which lay inside the scrotum. The testes are incredibly important for male health and future fertility: they ...

How long is treatment for testicular cancer?

A cycle of chemotherapy for testicular cancer typically lasts 3 weeks. Testicular cancer may be treated with 1 to 4 cycles of chemotherapy, depending on the stage of the cancer. During treatment, a patient may receive 1 drug at a time or a combination of different drugs given at the same time.

Why is testicular cancer so treatable?

The key to such success appears to lie in the cancer's stem cells, which are more sensitive to chemotherapy than stem cells found in other types of cancer. Defining why testicular cancers are so susceptible to chemotherapy could eventually provide insights for treating other, more resistant cancers.Nov 14, 2017

How long is chemo after testicular cancer?

Chemo cycles generally last about 3 to 4 weeks. The main drugs used to treat testicular cancer are: Cisplatin.May 17, 2018

What are 3 treatments for testicular cancer?

Chemotherapy, radiotherapy and surgery are the 3 main treatments for testicular cancer. Your recommended treatment plan will depend on: the type of testicular cancer you have – whether it's a seminoma or a non-seminoma.

Can you still have kids with one testicle?

How Much Does It Affect Fertility? Men with one undescended testicle can still have children, but their fertility is lower than normal by roughly half. If they have surgery to correct it, especially when younger, their fertility is about the same as if they never had a problem.Dec 8, 2020

Can you have kids after testicular cancer?

Testicular cancer or its treatment can make you infertile (unable to father a child). Before treatment starts, men who might want to father children may consider storing sperm in a sperm bank for later use. But testicular cancer also can cause low sperm counts, which could make it hard to get a good sample.May 17, 2018

Can you get an erection without testes?

Without both testicles, your body won't be able to make as much testosterone as it needs. That might lower your sex drive and make it harder to have erections. You could have hot flashes, lose some muscle mass, and be more tired than usual.Apr 17, 2021

Is testicular cancer genetic?

Having a father or brother with testicular cancer increases the risk that you will get it, too. But only a small number of testicular cancers occur in families. Most men with testicular cancer do not have a family history of the disease.May 17, 2018

What are the long term effects of testicular cancer?

This powerful combination routinely produces all the harsh side effects associated with chemotherapy, but it can also lead to a litany of long-term side effects: infertility, low testosterone, lung scarring, hypertension, coronary artery disease, metabolic syndrome and secondary cancers.Feb 21, 2019

Can stage 4 testicular cancer survive?

Testicular cancers are highly curable, even in patients with metastatic disease at diagnosis. According to SEER data from 2009-2015, overall 5-year survival is 95.2%.Sep 11, 2019

How long do you live after testicular cancer?

more than 95 out of 100 men (more than 95%) will survive their cancer for 1 year or more after they are diagnosed. 95 out of 100 men (95%) will survive their cancer for 5 years or more after diagnosis. around 90 out of 100 men (around 90%) will survive their cancer for 10 years or more after diagnosis.

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%.

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...

Is testicular cancer curable?

Testicular cancer is a highly treatable, usually curable, cancer that most often develops in young and middle-aged men. Most testicular cancers are germ cell tumors. For treatment planning, germ cell tumors are broadly divided into seminomas and nonseminomas because they have different prognostic and treatment algorithms. ...

What are the two prognostication models for testicular cancer?

There are two major prognostication models for testicular cancer: staging,

How many people will die from testicular cancer in 2021?

Incidence and Mortality. Estimated new cases and deaths from testicular cancer in the United States in 2021: [ 1] New cases: 9,470. Deaths: 440. Testicular cancer is a highly treatable, usually curable, cancer that most often develops in young and middle-aged men. Most testicular cancers are germ cell tumors.

Is testicular cancer a germ cell tumor?

Most testicular cancers are germ cell tumors. For treatment planning, germ cell tumors are broadly divided into seminomas and nonseminomas because they have different prognostic and treatment algorithms. For patients with seminoma (all stages combined), the cure rate exceeds 90%.

What percentage of testicular tumors are seminomas?

[ 1] . Less than 50% of malignant testicular germ cell tumors have a single cell type, of which roughly 50% are seminomas.

What is the classification of testicular germ cell tumors?

[ 1] Less than 50% of malignant testi cular germ cell tumors have a single cell type, of which roughly 50% are seminomas. The rest have more than one cell type, and the relative proportions of each cell type should be specified. The cell type of these tumors is important for estimating the risk of metastases and the response to chemotherapy. Polyembryoma presents an unusual growth pattern and is sometimes listed as a single histologic type, though it might better be regarded as a mixed tumor. [ 1 - 3]

What is stage 2 testicular cancer?

Stage II testicular cancer involves the testis and the retroperitoneal or peri-aortic lymph nodes usually in the region of the kidney. Retroperitoneal involvement should be further characterized by the number of nodes involved and the size of involved nodes. The risk of recurrence is increased if more than five nodes are involved or if the size of one or more involved nodes is more than 2 cm. Bulky stage II disease (stage IIC) describes patients with extensive retroperitoneal nodes (>5 cm), which portends a less favorable prognosis.

What is the treatment for testicular cancer?

Children and adolescents with testicular cancer should have their treatment planned by a team of doctors who are experts in treating childhood cancer. One type of standard treatment is used for testicular cancer. Surgery. New types of treatment are being tested in clinical trials. Targeted therapy.

What is testicular cancer?

Testicular cancer is a disease in which malignant (cancer) cells form in the tissues of one or both testicles. There are two types of testicular tumors. Signs and symptoms of testicular cancer include a painless lump in the testicles or early puberty. Tests that examine the testicles are used to help diagnose non-germ cell testicular cancer.

What are the two types of testicular tumors?

There are two types of testicular tumors. Germ cell tumors: Tumors that start in sperm cells in males. Testicular germ cell tumors may be benign (not cancer) or malignant (cancer). The most common testicular germ cell tumors in young boys are benign teratomas and malignant nonseminomas.

Is a testicular germ cell tumor benign?

Germ cell tumors: Tumors that start in sperm cells in males. Testicular germ cell tumors may be benign (not cancer) or malignant (cancer). The most common testicular germ cell tumors in young boys are benign teratomas and malignant nonseminomas. Seminomas usually occur in young men and are rare in boys.

Who is the doctor who treats cancer?

Treatment will be overseen by a pediatric oncologist, a doctor who specializes in treating children with cancer. The pediatric oncologist works with other pediatric health professionals who are experts in treating children with cancer and who specialize in certain areas of medicine.

What are the late effects of cancer?

Side effects from cancer treatment that begin after treatment and continue for months or years are called late effects. Physical problems, such as problems with fertility, are a late effect of treatment.

Why do cancer tests have to be repeated?

Some tests will be repeated in order to see how well the treatment is working. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests.

Living as a Cancer Survivor

For many people, cancer treatment often raises questions about next steps as a survivor.

Cancer Concerns After Treatment

Treatment may remove or destroy the cancer, but it's very common to have questions about cancer coming back or treatment no longer working.

Is testicular cancer curable?

In children with testicular cancer, cancerous cells are found in the tissues of one or both testicles. Testicular tumors in children are rare, most likely treatable and most often curable.

How common is testicular cancer in young men?

In infants and boys, testicular tumors make up about 1 to 2% of all tumors. On the other hand, testicular cancer is the most common cancer in young men 15 to 34 years old.

Where are the testicles located?

The testicles (also known as testes or testis) are part of the male reproductive system. These 2 golf ball size glands are held in a sac (scrotum) below the penis. But up to 3 of every 100 full-term male children may be born with an undescended testicle (cryptorchidism).

What hormones are produced in the testicles?

The testicles make male hormones such as testosterone. This hormone controls the sex drive in men. It also triggers the development of male traits. The testicles are where sperm (male reproductive cells) mature before being delivered to the vas deferens and ejaculated.

What test is used to detect testicular cancer?

Blood Tests . Blood tests to find tumor markers (proteins produced by most testicular cancers) are often done when a testicular tumor is suspected. Elevated levels of alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (less often) raise the clinical suspicion of specific malignant testicular tumors.

What is frozen section biopsy?

This is known as a frozen section biopsy. If the biopsy shows that the lump is a cancer, then the testicle will be removed.

Can a gonadoblastoma grow in children?

These tumors are rare, and happen most often in children with intersex disorders. The tumor grows in children with testicles that did not develop normally. Gonadoblastomas are benign, but they can change into malignant dysgerminomas in 50% of cases. Most cases show signs after puberty.

Is testicular cancer treated surgically?

Undescended testis, which is a risk factor for testicular cancer, is usually treated surgically, but whether the age at treatment has any effect on the risk is unclear. We studied the relation between the age at treatment for undescended testis and the risk of testicular cancer.

How many boys have cryptorchidism?

Testes that are undescended at birth may descend spontaneously during early life, but seldom thereafter. By 12 months of age, about 1% of all boys have cryptorchidism. 1,3 Treatment for persistent cryptorchidism is generally orchiopexy, a surgical correction in which the testicle is placed and fixed in the scrotum.

What is the most common congenital abnormality?

Undescended testis, or cryptorchidism, which occurs in 2 to 5% of boys born at term, is one of the most common congenital abnormalities. 1 Cryptorchidism is associated with impaired fertility and is a risk factor for testicular cancer. Among men who have had undescended testis, the risk of cancer is increased two to eight times, ...

What is the ICd 7 code for cryptorchidism?

We confined our study cohort to all subjects in the Discharge Register who had received a diagnosis of cryptorchidism (main or contributory discharge diagnosis ICD-7 code 757.00 , ICD-8 code 752.10, ICD-9 code 752F, or ICD-10 code Q53.0, Q53.1, Q53.2, or Q53.9) between January 1964 and December 1999 and who had been treated with orchiopexy (surgical procedure code 6790, KFH00, or KFH10) before 20 years of age. The restriction to those who underwent surgery before 20 years of age minimized the influence of selection bias due to, for instance, referral of men seeking treatment for infertility to the urology department.

What does a lump in the testicles mean?

Normally, a lump in the testicles is what prompts a visit to the doctor. At the clinic, the doctor will do a thorough work-up, which usually includes taking down medical and family history (including a history of cancer) and a physical exam (including an exam of the testicles). The doctor will often take a blood sample to look for tumor markers and might order imaging tests such as an ultrasound in order to better visualize the problem.

When is seminoma most common?

Seminoma: this is a less aggressive form of cancer and is more common later in life (men are most likely to contract it between the ages of 25 and 45).

Is testicular cancer a germ cell?

Abstract. Testicular cancer comprises different neoplasms, depending on the cell of origin and the typical age at presentation, but germ cell-derived tumors constitute the vast majority of cases. Germ cell tumors can be diagnosed in every age group, but more than 90% of cases occur in young men. These tumors, comprising seminoma ...

What age do germ cell tumors occur?

1-Testicular germ cell tumors (TGCT) may occur in any age but >90% occur in young adult men, with the peak prevalence between 25 and 40 years of age. These tumors are derived from germ cell neoplasia in situ (GCNIS) cells, which are arrested and transformed fetal gonocytes that failed to mature to spermatogonia.

Is gynecomastia a benign tumor?

These tumors are rare and can occur at any age. Depending on the predominant cell type the tumors may behave differently. Gynecomastia, as a sign of endocrine activity, can be found in ten percent of patients (2). These tumors are always benign in children, but in adults malignancy can be found (208).

Where do extragonadal GCTs occur?

Extragonadal GCTs occur most often in children of both genders, preferentially along the body midline (intracranial, pineal, mediastinal) but can occur also in adults. An increased frequency of extragonadal GCTs, especially in mediastinum, has been associated with the Klinefelter syndrome (10).

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