Testicular Cancer: Signs, Symptoms and Self-Exams

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I'm Tom Schwab I'm a urologist and I'm a

I specialize in kidney cancer and testes

cancer tests to scan says a cancer off

the young man we see testa's cancer

mostly in teenagers older than 16 or so

and men in their early and late 20s and

then there's another age group of men in

their late 40s to early 50s that develop

a special kind of test as cancer tests

as cancer in general is found by the

patient himself through a self exam

usually in the shower or something like

that and then the patient should undergo

an ultrasound of the scrotum just to

show us if this truly is a true cancer

of the testicle a true tumor in the

testicle and the patient then gets seen

by a urologist like me and we talk about

special blood tests that need to be done

prior to the surgery that is a very key

piece that certain tumor markers are

drawn prior to removing the testes

self-exams in general are very important

for health screening in general and for

cancer screening in particular and so

men should start self exams of the

scrotum early on when they're teenagers

so when a patient comes to see me with a

mass and the testicle I on purpose avoid

the word cancer because the patient is

not labeled with cancer until we truly

have a pathologic tissue diagnosis it's

important when the patient presents that

the patient has all the necessary blood

work that the patient has what we call

tumor markers drawn and that the patient

presents with a scrotal ultrasound to

assess the testicle that is pathologic

that has to mass in it as well as the

other testicle make sure that the other

testicle looks fine the patient then

will be counseled to undergo a radical

orchiectomy ironically the surgery

actually happens in the groin and we

remove the entire testicle only in very

rare cases do we perform a partial or

key ectomy where we only take the tumor

out and obviously that's usually in the

case when a patient already only has one

testicle to start with so if only one

testicle gets removed and the other

testicle looks perfectly no

examine an ultrasound the patient in

general does not have any impact on

sperm production or fertility the second

testicle will be able to pick up the

slack so to speak in terms of


and sperm production in very rare cases

we have a patient that develops

bilateral testa's cancers in which case

both testicles have to be removed if

that is the case sperm production of

obviously is an issue we can bank sperm

prior to any surgeries or any

chemotherapy that may be needed for

tests as cancer that is an option that

is available here at Roswell

testosterone can be replaced in a number

of different forms starting from a gel

that gets applied to testosterone

injections risk factors for testicular

cancer are a few we know there's a small

percentage of patients that have a

familial component a hereditary

component another risk factor thought to

lead to test as cancer is undescended

testicles that's why it's important that

young boys are examined on a regular

basis by their pediatrician to make sure

both testicles thought you send it all

the way into the scrotum test as cancer

is highly treatable and highly curable

even if the patient presents at an

advanced stage a couple of key pieces to

the success of treatment of testes

cancer one of the key pieces is blood

work so we really need properly timed

blood draws of tumor markers before the

surgery and after the surgery after the

removal of the testicle the second piece

that's really really important is that

we have good tissue diagnosis as to what

kind of tests test this cancer this is

there are a handful of different flavors

of tests as cancer and it is really

critical to make sure that we know that

all different pathologic components of

the test this cancer have been well

described and that's where at Cancer

Center like ours comes to play because

we use pathologists that are specialized

in urologic cancers and they really

specialize in examining testes cancers

in particular so that is one critical

piece the setting second

pieces that the patient gets seen by a

medical oncologist who is very

comfortable in using all forms of

chemotherapy treatments that are

available for tests as cancer and then

the third piece is that the patient gets

seen by a urologic surgeon who is very

comfortable with performing some of the

advanced surgery that may be needed for

advanced stage tests as cancer