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This question was answered on Sat 09, Feb 2008 08:31am by Dr Dennis S, MD

Do i have testicular cancer?


    
Asked by user (Male ) on Thu 07, Feb 2008 08:28pm

I noticed a pain in my left testicle. The pain becomes terrible sometimes and it shoots up into my lower stomach. I noticed a small aching in my left testicle, this is not constant but was on and off during the day. I am worried if these are signs of testicular cancer. I am visiting the doctor today, but before i do this I would like to take an opinion on what are the general symptoms that are shown if a person is suffering from testicular cancer? What sort of diagnosis is recommended to get this confirmed? Do we have different stages in testicular cancer? Is this curable or a life threatening disease Thanks, Sreedhar
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Answer by Dr Dennis S, MD  on Sat 09, Feb 2008 08:31am:

Hi Sreedhar, Testicular cancer is the most common solid tumor in men between the ages of 15 and 35 years. It has 3 modal peaks: infancy, ages 25 to 40 years, and about 60 years. It presents with painless testicular mass. CT scan is the most effective imaging modality for testicular cancer. Laboratory examinations that are helpful in the diagnosis include serum AFP (alpha feto protein), LDH (lactic dehydrogenase), and HCG (human chorionic gonadotropin). Radical inguinal orchiectomy (a form of surgery) is the only acceptable diagnostic and therapeutic procedure for testicular cancer. Testicular cancer is staged as: Stage I – cancer confined to the testis; Stage II – cancer restricted to the retroperitoneum; and Stage III – involvement of supradiaphragmatic or other nodal sites, visceral sites, or markedly increased serum markers only. Fortunately, testicular cancer is responsive to treatment with a high likelihood of cure. But this is also dependent on the stage or extent of the disease. Since you are experiencing intermittent testicular pain, it would be best to consult your doctor as there are disease conditions that can present as such. Good luck.

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Follow up:

Clarification by Online Doctor on Sat 09, Feb 2008 08:44am: 
Thank you for the answer. it really gave me precise information on what i need to speak with my doctor.

Comments:

Comment by bru61 on Sat 22, Mar 2008 02:14pm: Great... I am now 41 so I can not worry about it until i am around 60
Comment by Dr Dennis S, MD on Sun 23, Mar 2008 07:59am: Hi bru61. As I’ve mentioned in my previous post, testicular cancer has 3 modal peaks: infancy, ages 25 to 40 years, and about 60 years. But this does not mean that patients not belonging in the age group mentioned can not or will not develop testicular cancer. The age groups mentioned are those with a high incidence of testicular cancer. Outside those age groups, there are still cases of testicular cancer but with a lesser incidence.

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