Testicular CancerWhen cells in certain
parts of the body divide abnormally, they form a
non-functional mass called a tumor. This abnormal type
of cell division may be caused by genetic mutations or
from toxins that enter the body. Tumors may either be
benign or malignant, and it is the latter that is
potentially cancerous and deadly if not given medical
treatment. In the male reproductive system, prostate
cancer and testicular cancer are such conditions that
afflict many men around the world. The testes or
testicles are the male reproductive organs, which are
responsible for the production of sex hormones like
androgen and testosterone as well as sperm cells. When a
tumor or cancerous growth is detected, this can lead to
testicular cancer. This type of cancer can greatly
affect the production of sperm cells, and cause
dangerous hormonal imbalances in the body. Testicular
cancer accounts for one to two percent of all cancers in
men and the number is growing by the day. As stated by a
2007 report of the American Cancer Society, there are
approximately 7,900 new cases of testicular cancer per
year. Within the same year, around 300 to 400 men will
die with complications of the disease. Testicular cancer
occurs in men, generally between the ages 25 to 40 and
rarely seen after the age of 70.
Risk Factors
Who are the men that are at risk of getting testicular
cancer? The National Institutes of Health explain that
among the ethnicities of men in the United States, white
American men are more likely to be victims of testicular
cancer. They are followed by African American men, and
by Asian American men. Men with undescended testicles at
the time of birth have a greater chance of contracting
testicular cancer. The other factors that may lead to
testicular cancer include inguinal hernia, mumps
infection of the testicles and testicular torsion.
Vasectomy operation intended for birth control, will not
affect the risk of getting testicular cancer. Hereditary
genes also play an important part in contracting
testicular cancer. Some sources claim that regular or
frequent exposure to some harmful chemicals may
contribute to the occurrence of testicular cancer.
Dietary habits have no correlation with testicular
cancer. The only saving grace here is, it is easily
curable and cases of death are very few. Almost all the
cases of testicular cancer can be classified into two
main types namely Seminomas affecting the younger males
and Teratomas affecting the elderly. This condition is
said to be the most common male-specific cancer that
affects the 15 to 40 age group in the United States.
Symptoms
What are the symptoms to look for in the diagnosis of
testicular cancer? The elementary symptom of the
testicular cancer is a lump in one of the testicles or a
painless swelling. Some other symptoms that may be
observed include a noticeable pain in testicle, bulging
of a testicle or persistent pain in the lower stomach. A
man may feel constant pains in the abdominal area or the
lower back as a result of the cancer spreading, which
can also be detected in the lungs, pelvis, and abdomen.
However, in some cases, there may be no apparent
symptoms of the disease. A physical examination should
be done by a doctor to determine if an abnormal growth
has developed in the testes. An ultrasound may also be
performed to find out if a tumor is present.
Diagnosis
Once you consult the family doctor, he will thoroughly
check the testicles and if the need arises, the case
will be referred to a specialist. The specialist will
conduct ultra sound scan of the testicles to ascertain
any untoward growth or lumps inside them. If any lump is
found, a tissue sample of lump is taken out and sent to
a pathologist for examination. He will then determine
the cancerous nature of the lump. Once it is diagnosed
as cancerous lump, further blood tests would be
conducted to know the exact stage and progress of it in
the body. HCG(Human Chorionic Gonadotrophin), AFP(Alpha
Fetoprotein) and LDH(Lactate Dehydrogenase) levels in
the blood would be checked to know the spread of the
cancerous cells.
Treatment
Treatment for the disease is similar to other types of
cancer, where radiation therapy and chemotherapy have
been found to be effective when used together. The type
of treatment used is dependent on the current stage of
the patient’s testicular cancer. In some cases, an
orchiectomy or the surgical removal of the testis may be
done.
Surgery
Normally surgery is performed to remove the affected
testicle. The removal of one testicle will not affect
the man’s erection ability or reduce the ability to
produce an off spring. In some cases, an artificial
testicle can be inserted in the scrotum to restore the
natural appearance. Surgery would normally suffice for
many, but for some others radiation therapy or
chemotherapy is also given to kill the left over cancer
cells, spread beyond the testicle. In addition to this
the radio therapy and chemotherapy methods are also
widely used to tackle this cancer.
Side effects
Patients subjected to radio therapy may experience
nausea or diarrhea, which can be taken care of, by
certain drugs. Chemotherapy patients also complain of
mouth ulcers, nausea, hair loss, and ringing in the ears
for which preventive medicines can also be prescribed. A
higher dosage of drugs involves higher amount of pain.
Certain testicular cancer treatments may cause
infertility on a permanent basis. Patients prescribed
higher doses of therapy, can consider sperm banking for
future use, in case something goes wrong badly.
Effectiveness of the treatment
The above three methods of treatments are sufficient to
deal with testicular cancer. The earlier the diagnosis,
the higher are the chances of complete cure. Even in
case of late detection, the percentage of success is
more than 50%. The point to note here is that complete
cure denotes more than 10 years of survival after the
treatment.
With the facts and figures discussed above, you can
successfully tackle testicular cancer without any hassle
and steer clear of the attendant problems.
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