Testicular cancer most commonly presents as a hard, painless nodule on one testis noticed by the patient or at a regular clinic examination.
Elevated serum tumour markers can be used for disease diagnosis and aid in monitoring the treatment response.
Ultrasound of the testis is 90% to 95% accurate in diagnosis.
Radical orchiectomy to confirm histological diagnosis is initial treatment in most cases.
Infertility can be a complication of surgery.
The most common malignancy in young adult men (20 to 34 years of age), and highly curable when diagnosed early. A precancerous condition termed carcinoma in situ is highly specific early in the natural history of the disease.
History and exam
- ultrasound with colour Doppler of testis
- CT scan (abdomen and pelvis)
- serum beta-human chorionic gonadotrophin (beta-hCG)
- serum alpha-fetoprotein (AFP)
- serum lactate dehydrogenase (LDH)
- histological examination of testicular mass post-orchiectomy
Al B. Barqawi, MD, FRCS
Associate Professor of Surgery/Urology
Director of Prostate Cancer Fellowship Program
School of Medicine
University of Colorado Denver
ABB declares that he has no competing interests.
Brandon Bernard, MD, FRCPC
University of Colorado Denver School of Medicine
University of Colorado Cancer Center
BB declares that he has no competing interests.
Dr Al B. Barqawi and Dr Brandon Bernard would like to gratefully acknowledge Dr Elizabeth R. Kessler and Dr Thomas W. Flaig, previous contributors to this topic.
ERK and TWF declare that they have no competing interests.
Elisabeth Heath, MD
Assistant Professor of Medicine and Oncology
Karmanos Cancer Institute
Wayne State University
EH declares that she has no competing interests.
Gianfilippo Bertelli, MD, PhD, FRCP (Edin)
Consultant/Honorary Senior Lecturer in Medical Oncology
SW Wales Cancer Institute/Department of Oncology
GB declares that he has no competing interests.
Emilio Porfiri, MD, PhD
Senior Lecturer in Medical Oncology
School of Cancer Sciences
University of Birmingham
EP declares that he has no competing interests.
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