Testicular cancer
Sponsored Links
This presentation is the property of its rightful owner.
1 / 18

Testicular Cancer PowerPoint PPT Presentation

  • Uploaded on
  • Presentation posted in: General

Testicular Cancer. Presentation at WHRHS Alex Hohmann February 18-19, 2014. Alex’s testicular cancer. First diagnosis in October 1996 (age 30): surgery, radiation therapy and surveillance Second diagnosis in March 2008: surgery and surveillance Excellent prognosis.

Download Presentation

Testicular Cancer

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript

Testicular Cancer

Presentation at WHRHS

Alex Hohmann

February 18-19, 2014

Alex’s testicular cancer

  • First diagnosis in October 1996 (age 30): surgery, radiation therapy and surveillance

  • Second diagnosis in March 2008:surgery and surveillance

  • Excellent prognosis

Alex’s post-diagnosis goals

  • Lead healthy lifestyle and survive cancer well

  • Advocate, fund raise and educate

  • Run third half marathon and first full marathon in 2014

Basic facts about TC

  • Testicular cancer includes different cancer cell types (seminoma vs non-seminoma) that usually appear first in the testes

  • TC does not have any clearly identified causes

  • Men with TC were most likely born predisposed to it

  • TC rates seem to be higher in men born with an undescended testicle and are highest among Caucasian men

TC by the numbers*

  • About 8000 new cases/year in the US

  • Accounts for only 0.5% of all cancer cases

  • Most common cancer in men ages 15 to 40

  • Median age at diagnosis is 33

  • Lifetime risk is about 1 in 250

  • Just under 400 deaths/year

  • Overall 5-year survival rate of 95%

  • Localized (confined to testes) survival of 99%

    * All figures from the Sean Kimerling Testicular Cancer Foundation, National Cancer Institute, and American Cancer Society

Anatomy of testes and pelvis


Early detection of TC

  • Examine testicles at least once a month

  • Look for presence of a pea-sized mass attached to testes or for scrotal enlargement

  • Other symptoms may include feeling of heaviness in scrotum, severe and worsening back ache, breast tenderness

  • See a urologist at the first sign of any of these symptoms. Do not delay.

Diagnosis of TC

  • Urologist will examine testicle and, if indicated, order a scrotal ultrasound to be done right away

  • The ultrasound is quick and painless

  • Ultrasound images are examined by a radiologist who will report back to the urologist if there are signs of a tumor

  • Urologist will draw blood and order a CT scan to be done right away

Diagnostic and staging tools

Treatment of TC: first steps

  • Entire testicle must be removed in a short procedure called an inguinal orchiectomy, usually done on an outpatient basis

  • Biopsy of the testicle, CT scan, and blood tests determine type (seminoma vs non-seminoma) and staging (1, 2, 3)

  • Post-orchiectomy treatment and follow-up vary according to type and stage and are done under the care of an oncologist

TC Stages


Treatment of TC: next steps

  • Depending on cell type, stage 1 TC may require only follow-up testing (surveillance)

  • Non-seminoma may require further surgery (e.g. RPLND) for biopsy or treatment

  • Some stage 1 patients elect adjuvant radio- or chemotherapy to reduce relapse risk

  • Relapse (cancer shows up again, often in lymph nodes) must be treated immediately with chemo- or radiotherapy

Effects of TC and treatment

  • Loss of one testicle does not usually impair testosterone and sperm production

  • Radio- or chemotherapy can impair sperm production so some men bank sperm first

  • A second TC is very rare but results in loss of fertility and need for hormone replacement

  • Properly treated and followed up by a doctor, majority of TC survivors have normal sexual performance and live a fully and healthy life

Alex’s lessons from cancer

  • There was no known way of avoiding TC

  • There are others facing the same thing

  • There can be a great life after cancer

  • Keep a sense of humor

  • Don’t take health or life for granted

  • Be grateful for life by giving back to others

  • Don’t be shy about speaking up

  • Embrace new challenges

Points to remember

  • Know your body

  • Live a healthy lifestyle

  • Get a complete physical regularly

  • See a doctor ASAP at any sign of trouble

  • Have someone (e.g. loved ones) with you if you have to see a urologist or oncologist

  • Ask questions and take good notes

  • Reach out for support

  • Don’t be shy about discussing health issues

  • Above all, don’t die of embarrassment!

Diagnosis-related definitions

  • Urologist: doctor specializing in genito-urinary disorders such as testicular cancer, bladder cancer, prostate cancer, incontinence, infection, etc.

  • Oncologist: doctor specializing in treatment of cancer, often specializing in specific cancers

  • CT (computed tomography) scan: x-ray “slices” of the body to produce three-dimensional image

  • Ultrasound: widely used sound wave technology used to produce medical images

  • Biopsy: examination of tissue samples under microscope for isolation and identification of abnormalities such as cancer cells

Treatment-related definitions

  • Inguinal orchiectomy: surgical removal of a testicle done through a small incision in the groin and thus not involving incision in the scrotum itself

  • Radiotherapy: destruction or reduction in size of masses in isolated parts of the body using radiation of specific form, intensity, duration and frequency, usually but not always in exterior beam form

  • Chemotherapy: destruction or reduction of solid masses or diffuse cancer cells using cell-specific chemical agents in precise combination, timing, and dosage, usually but not always intravenously

Other disorders of the testes

  • Varicocele: swelling of testicular blood vessels

  • Hydrocele: accumulation of fluid in scrotum

  • Epididymitis: inflammation of the epididymis

  • Orchitis: inflammation of the testicles

  • Primary hypogonadism: low testosterone due to failure of testes to produce it

  • Cryptorchidism: undescended testicle

  • Testicular torsion: interruption of blood supply due to twisting of spermatic chord

  • Testicular rupture due to blunt force

  • Login