UROLOGY · CONDITIONS
Testicular Cancer
The most common solid malignancy in men aged 15–35 , one of the most curable cancers with correct treatment. Early diagnosis is essential.
ABOUT THIS CONDITION
What is Testicular Cancer?
Testicular cancer usually presents as a painless testicular lump or swelling. Despite its age group, outcomes are outstanding , even metastatic testicular cancer has very high cure rates with appropriate chemotherapy. Radical inguinal orchidectomy is the primary surgical treatment. Dr. Vipin provides prompt evaluation, tumour markers, emergency surgery, and coordination with oncology for chemotherapy or radiotherapy where required , ensuring the best possible cure rates and fertility outcomes.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Undescended testis (cryptorchidism)
- Family history of testicular cancer
- Klinefelter syndrome (47 XXY)
- Contralateral testicular cancer history
- Testicular microlithiasis on ultrasound
- White European ethnicity , higher incidence
CLINICAL DETAILS
KeyFacts
AFP, beta-hCG, and LDH measured before orchidectomy , essential for staging and monitoring.
Radical inguinal orchidectomy through the groin , the standard diagnostic and therapeutic operation.
CT chest-abdomen-pelvis after surgery , determines the need for surveillance, chemotherapy, or radiotherapy.
Highly radiosensitive. Stage I managed with surveillance or adjuvant carboplatin , >98% cure.
BEP chemotherapy for metastatic disease , cure rates >80% even in advanced stages.
Sperm banking offered before any adjuvant treatment. One testis is sufficient for normal fertility.
HOW WE TREAT IT
Treatment Approach
Radical Inguinal Orchidectomy
Surgical removal of the testis and spermatic cord through an inguinal incision , the mandatory primary treatment for all suspected testicular malignancy, providing histological diagnosis and initial control.
- 1
Ultrasound & Markers
Scrotal ultrasound confirms the testicular mass. AFP, beta-hCG, and LDH are measured urgently before surgery for staging.
- 2
Sperm Banking
Sperm cryopreservation is offered to all patients before orchidectomy and prior to any adjuvant treatment.
- 3
Radical Orchidectomy
The testis and spermatic cord are removed through an inguinal incision under general anaesthesia , same or next day discharge.
- 4
Staging & Follow-up
Post-operative CT staging determines whether surveillance, adjuvant chemotherapy, radiotherapy, or RPLND is required.
AVAILABLE TREATMENTS
Treatment Options
Radical Inguinal Orchidectomy
Removal of the testis and cord through an inguinal incision , the primary diagnostic and surgical treatment for testicular cancer.
Retroperitoneal Lymph Node Dissection (RPLND)
Template removal of retroperitoneal lymph nodes for non-seminoma clinical stage II or post-chemotherapy residual disease.
Testis-Sparing Surgery (selected cases)
Organ-preserving excision for small (<2 cm) tumours in a solitary testis confirmed benign on intraoperative frozen section.
COMMON QUESTIONS
Frequently Asked Questions
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