Testicular Cancer Jennifer Boyd IMG 310 Summer 2016

 Testicular cancer is a disease in which malignant cancer cells form in the tissues of one or both testicles  Almost all testicular cancer starts in the germ cells.  The major two types of germ cells are; seminomas and nonseminomas.  Nonseminomas spreads and grow more quickly than seminomas  Seminomas are more sensitive to radiation.  Two main subtypes  Classical- 95% of the cases are seminomas and more common in men  Spermatocytic- Rare, occurs mainly in older men and tends to grow more slowly and less likely to metastasize to other parts of the body. What is Testicular Cancer?

Diagram, Ultrasound, and PET/CT of Testicular Cancer.

Etiology and Epidemiology of Testicular Cancer  The exact cause of most testicular cancer is unknown.  The rates are higher in men born with an undescended testicle. A condition known as “Cryptorchidism”.  A family history of the cancer.  The average age of testicular cancer is 34 years.  More common in White men than African American men.  Most common in ages  Can be treated successfully.

Signs/Symptoms and Modality Best Imaged Signs/Symptoms  a painless lump, change in size or any irregularity.  Pain or discomfort in the scrotum or testicle.  A dull ache or sense of pressure in the lower abdomen, back or groin. Modality Best Imaged  Computed Tomography is best used because it is more sensitive and specific for staging the disease.  Ultrasound is also used because it can help determine the location of the palpable mass when the disease is suspected.

Treatment and Prognosis Treatment  Surgery  Inguinal orchectomy and Reyroperitoneal lymph node dissection.  Medications  Chemotherapy and Hormone therapy  Medical procedure  Radiation therapy Prognosis- Is very good for this particular cancer.

Self Exam

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