Signs & Symptoms of Testicular Cancer

19 05 2009

Testicular cancer statistically affects men between the ages of 20-39 and mostly white males.  Those with abnormal testicles, such as undescended  (cryptorchidism); or have a family history of testicular cancer are more at risk to get the same disease.  Testicular cancer is highly treatable even if spreading beyond the groin area.  There is 1 of 7 treatments, or combinations of such that may be applied to mitigate this form of cancer.  Although successful treatment is available it must be emphasized; the sooner you recognize the signs symptoms seek immediate treatment for best mitigation results of a potentially fatal form of cancer.    Signs and Symptoms:  Fatigue and not feeling well.   You may experience enlargement of breast and associated tenderness.  Testicle and scrotum may be sensitive to touch/movement with pain.  There may be a feeling of heaviness in the scrotum and/or enlargement in either testicle.   Be aware of rapid fluid collection in the scrotum, lumps on the testicles and/or dull aches in the groin, or abdomen areas.  Testicular cancer is rare with unknown causes and typically affects only one testicle.
Treatment options: Radiation and chemotherapy are often used to kill the cancer.  Immediate surgery is common practice to remove a cancerous testicle (radical inguinal orchiectomy) once diagnosis is confirmed.   A saline-filled testicle can be inserted if a prosthetic is desired.   If a patient has one testicle, a biopsy may first be performed for other possible treatment courses.  Ultra sound is used to differentiate between fluid or solid lumps, inside or outside of testicles.  Blood tests verify the presence of elevated cancerous tumor markers.   Computerized tomography (CT) takes X-ray images of abdomen which can identify abdominal, or lymph nodes cancer.   X-rays of chest are used to see if cancer has spread to chest.  These tests can reveal malignancy type, progression, stage or tell you if your testicular signs and symptoms are benign. 

-Examine testicles 1/month.  Feel for lumps -Gently palpate and roll testicles after hot shower.
-Contact your physician if any of these signs and symptoms last longer than 2 weeks.
-If subjected to radiation and chemotherapy consider sperm banking before therapy.
-Ask about clinical trials if conventional methods don’t work (such as stem cell transplant).
– Eat a healthy diet (plenty of fruits-vegetables).  Reduce stress, get plenty of rest.  Stop smoking.
– With your doctor’s approval – Exercise with low impact aerobics, no less than 2xweek.
– Connect with cancer survivor groups and stay connected with family and friends for support.
– Contact National Cancer Institute (800-422-6237); American Cancer Society (800-277-2345).

 Issue: “Bout With Gout Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright.  All rights reserved, Mirror Athlete Publishing @:,  Sign up for your Free eNewsletter.