Testicular cancer

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Testicular cancer is a disease in which
malignant (cancer) cells form in the tissues of one or both testicles.

The testicles are
2 egg-shaped glands located
inside the scrotum (a
sac of loose skin that lies directly below the penis).
The testicles are held within the scrotum by the spermatic
cord, which also contains the vas
deferens and vessels and nerves of
the testicles.

The testicles are the male sex glands and
produce testosterone and sperm. Germ
cells within the testicles produce immature sperm that travel through
a network of tubules (tiny tubes) and larger tubes into the epididymis (a
long coiled tube next to the testicles) where the sperm mature and are stored.

Almost all testicular
cancers start in the germ cells. The two main types of testicular
germ cell tumorsare seminomas and nonseminomas.
These 2 types grow and spread differently and are treated differently.
Nonseminomas tend to grow and spread more quickly than seminomas. Seminomas are
more sensitive to radiation.
A testicular tumor that
contains both seminoma and nonseminoma cells is
treated as a nonseminoma.

Testicular cancer
is the most common cancer in
men 20 to 35 years old.

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Testicular cancer

  1. 1. Fitango Education Health Topics Testicular cancerhttp://www.fitango.com/categories.php?id=18
  2. 2. Overview Testicular cancer is a disease in which malignant (cancer) cells form in the tissues of one or both testicles. The testicles are 2 egg-shaped glands locatedhttp://www.fitango.com/categories.php?id=18 1
  3. 3. Overview inside the scrotum (a sac of loose skin that lies directly below the penis). The testicles are held within the scrotum by the spermatic cord, which also contains the vashttp://www.fitango.com/categories.php?id=18 2
  4. 4. Overview deferens and vessels and nerves of the testicles. The testicles are the male sex glands and produce testosterone and sperm. Germhttp://www.fitango.com/categories.php?id=18 3
  5. 5. Overview cells within the testicles produce immature sperm that travel through a network of tubules (tiny tubes) and larger tubes into the epididymis (a long coiled tube next to the testicles) where the sperm mature and are stored. Almost all testicularhttp://www.fitango.com/categories.php?id=18 4
  6. 6. Overview cancers start in the germ cells. The two main types of testicular germ cell tumorsare seminomas and nonseminomas. These 2 types grow and spread differently and are treated differently. Nonseminomas tend to grow and spread more quickly than seminomas. Seminomas arehttp://www.fitango.com/categories.php?id=18 5
  7. 7. Overview more sensitive to radiation. A testicular tumor that contains both seminoma and nonseminoma cells is treated as a nonseminoma. Testicular cancerhttp://www.fitango.com/categories.php?id=18 6
  8. 8. Overview is the most common cancer in men 20 to 35 years old.http://www.fitango.com/categories.php?id=18 7
  9. 9. Risks Anything that increases the chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; nothttp://www.fitango.com/categories.php?id=18 8
  10. 10. Risks having risk factors doesn’t mean that you will not get cancer. People who think they may be at risk should discuss this with their doctor. Risk factors for testicular cancer include: -- Having had an undescendedhttp://www.fitango.com/categories.php?id=18 9
  11. 11. Risks testicle. -- Having had abnormal development of the testicles. -- Having a personal history of testicular cancer.http://www.fitango.com/categories.php?id=18 10
  12. 12. Risks -- Having a family history of testicular cancer (especially in a father or brother). -- Being white. http://www.cancer.gov/cancertopics/pdq/treatme nt/testicular/patient/http://www.fitango.com/categories.php?id=18 11
  13. 13. Symptoms These and other symptoms may be caused by testicular cancer. Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur:http://www.fitango.com/categories.php?id=18 12
  14. 14. Symptoms -- A painless lump or swelling in either testicle. -- A change in how the testicle feels. -- A dull ache in the lower abdomen or the groin. -- A sudden build-up of fluid inhttp://www.fitango.com/categories.php?id=18 13
  15. 15. Symptoms the scrotum. -- Pain or discomfort in a testicle or in the scrotum.http://www.fitango.com/categories.php?id=18 14
  16. 16. Diagnosis The following tests and procedures may be used: -- Physical exam and history: An exam of the body to check general signs of health, includinghttp://www.fitango.com/categories.php?id=18 15
  17. 17. Diagnosis checking for signs of disease, such as lumps or anything else that seems unusual. The testicles will be examined to check for lumps, swelling, or pain. A history of the patients health habits and past illnesses and treatments will also be taken.http://www.fitango.com/categories.php?id=18 16
  18. 18. Diagnosis -- Ultrasound exam: A procedure in which high- energy sound waves (ultrasound) are bounced off internal tissues or organs and make echoes. The echoes form a picture of body tissues called asonogram.http://www.fitango.com/categories.php?id=18 17
  19. 19. Diagnosis -- Serum tumor marker test: A procedure in which a sample of blood is examined to measure the amounts of certain substances released into the blood by organs, tissues, or tumor cells in the body. Certain substances are linked to specific types of cancer when found in increasedhttp://www.fitango.com/categories.php?id=18 18
  20. 20. Diagnosis levels in the blood. These are called tumor markers. The following 3 tumor markers are used to detect testicular cancer: -- Alpha-fetoprotein (AFP). -- Beta-human chorionic gonadotropin (?-hCG).http://www.fitango.com/categories.php?id=18 19
  21. 21. Diagnosis -- Lactate dehydrogenase (LDH). -- Tumor marker levels are measured before radical inguinal orchiectomy and biopsy,http://www.fitango.com/categories.php?id=18 20
  22. 22. Diagnosis to helpdiagnose testicular cancer. -- Radical inguinal orchiectomy and biopsy: A procedure to remove the entire testicle through anincision inhttp://www.fitango.com/categories.php?id=18 21
  23. 23. Diagnosis the groin. A tissue sample from the testicle is then viewed under a microscope to check for cancer cells. (The surgeon does not cut through the scrotum into the testicle to remove a sample of tissue forhttp://www.fitango.com/categories.php?id=18 22
  24. 24. Diagnosis biopsy, because if cancer is present, this procedure could cause it to spread into the scrotum and lymph nodes. Its important to choose a surgeon who has experience with this kind of surgery.)http://www.fitango.com/categories.php?id=18 23
  25. 25. Diagnosis If cancer is found, the cell type (seminoma or nonseminoma) is determined in order to help plan treatment.http://www.fitango.com/categories.php?id=18 24
  26. 26. Prognosis The prognosis (chance of recovery) and treatment options depend on the following: Stage ofhttp://www.fitango.com/categories.php?id=18 25
  27. 27. Prognosis the cancer (whether it is in or near the testicle or has spread to other places in the body, and blood levels of AFP, ?-hCG, and LDH). -- Type of cancer. -- Size of the tumor.http://www.fitango.com/categories.php?id=18 26
  28. 28. Prognosis -- Number and size of retroperitoneal lymph nodes. Testicular cancer can usually be cured.http://www.fitango.com/categories.php?id=18 27
  29. 29. Treatment Different types of treatments are available for patients with testicular cancer. Some treatments are standard (the currently used treatment), and some are being tested in clinicalhttp://www.fitango.com/categories.php?id=18 28
  30. 30. Treatment trials. A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer. When clinical trials show that a new treatment is better than the standardhttp://www.fitango.com/categories.php?id=18 29
  31. 31. Treatment treatment, the new treatment may become the standard treatment. Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment.http://www.fitango.com/categories.php?id=18 30

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