Testicular Cancer | FAQ

Testicular Cancer | FAQ

(dramatic music)>>Testicular cancer is
the most common cancer for men in ages 15 to 44 in
the US and around the world. It’s a cancer that forms from
the cells that eventually turn into sperm in the testicles. (dramatic music) Most often testicular
cancers felt during self exam or a man feels a painless
palpable lump in their testicles. However other signs can
be pain in the testicle, a painful mass, or a general enlargement of the scrotum or testicle. Occasionally it would present as a dullness, heavy, or aching pain. Very rarely in its more advanced stages, testicular cancer can
present with back pain, a cough, or other
symptoms around the body. (dramatic music) After feeling or noticing an abnormality, most men come to the doctor, the doctor will do a physical examination and then typically order an ultrasound. An ultrasound is an imaging technique that does not use radiation, but can visualize inside the testicle to see if there’s any masses or abnormal growths. Most masses inside the
testicles are cancerous. Most masses outside of the testicle, but in the scrotum are benign. (dramatic music) There are a number of risk
factors for testicular cancer that the general population
should be aware of. The first is something
called cryptorchism, or an undescended testicle. This is most commonly
diagnosed in young boys and fixed before they hit puberty. But even if an undescended
testicle is fixed, that man is at increased risk for testicular cancer
throughout their lifetime. The second risk factor
is a family history, particularly in men who’ve had brothers or fathers with testicular cancer. They’re at an increased risk of developing testicular cancer themselves. And the last one is something called intertubular germ cell neoplasia, which is a fancy term for a precursor legion to testicular cancer,
that’s most often diagnosed in men who are undergoing
an infertility evaluation. (dramatic music) The first treatment option for men who have testicular cancer is
called a radical orchidectomy or surgical removal of
the affected testicle. The first thing I would do is diagnosis the testicular cancer and tell us what kind of testicular cancer it is. Depending on the type of testicular cancer we’ll order specific staging examinations, which could include blood work, CT scans, chest x-rays, and that’ll tell us, depending on the stage
and what kind of cancer, what treatment options are available. (dramatic music) Testicular cancer falls
under two major subtypes, one called seminoma and the
other called non-seminoma. Seminomas are exquisitely responsive to chemotherapy and radiation therapy, and those are typically the main stages of therapy after orchiectomy. Non-seminomas come in
a variety of flavors. Some of those forms of
non-seminomas are not as responsive to chemotherapy and will not respond to radiation therapy, so we often talk about chemotherapy and surgery as the treatment options
for non-seminomas. (dramatic music) Typically orchidectomy takes about an hour or less in the operating room. Most men go home the same day. It’ll be particularly sore for two or three days while you recover. To properly do an orchidectomy, you basically give a young man a hernia and then fix that hernia. Most men will recover
within two to four weeks and feel like a hundred
percent of themselves again. (dramatic music) They’re really minimal side
effects for an orchidectomy. The first is the discomfort
that you may feel for two to four weeks after the operation. Very often men will feel some swelling or fluid or blood built up in the scrotum. And that’ll take a few weeks
to return to normal also. Really you’ll get some
numbness or tingling beneath the incision that’s
associated with some nerves that’s run in the same
area as the spermatic cord. (dramatic music) There are a number of reasons
we welcome men to Johns Hopkins for the management
of their testicular cancer. The first is that we’re
experts in all facets of the management of this disease and we can help you make the decisions and choose the treatments
that are right for you. We’re also experts in
the surgical management of this disease, from
radical orchidectomy, partial orchidectomies,
fertility treatments, and prosthesis placement,
as well as retroperitoneal lymph node dissections done through both an open incision and a robotic approach. Another important reason
to come to Johns Hopkins is our focus on survivorship. The moment the man is diagnosed
with testicular cancer, he is a survivor of that disease and we keenly focus on helping that man and his family achieve all
the things they wanted to do before they were diagnosed
with testicular cancer. That includes fertility evaluations, hormone evaluations, and a general focus on their well being for
the rest of their life. (dramatic music)

26 thoughts on “Testicular Cancer | FAQ

  1. Dr. Pierorazio is a class act. Was a patient of his for an rplnd, he's an expert at what he does. Can't recommended him enough.

  2. Men, give up all deodorants, cosmetics, lotions, soaps, colognes, perfumes, air fresheners and household cleaning products AND GET YOUR WOMEN TO DO THE SAME. Eat only a raw vegan diet. Stop drinking all alcohol. Now. You should never have started.

  3. I am 25. And after a sudden slight pain in my testicle i observed a hard lump below my right testicle and swelling is it cancer?i went to doc and had tested my blood and urine but seems normal..i am really worried plzz help me

  4. I think I have a lump on my right testicle maybe the size of a bean? I don’t know but im 12 and scared. I want to see a doc but I don’t know how to tell my parents I am so so scared

  5. I sometimes have slight aches where I think I have a lump and sometimes my lower back on that side (right) aches…hope I don’t die!

  6. FEEL YOUR TESTICLES! If one feels less spongy than the other that's a sure sign of problems
    When I finally noticed I had one that wasn't as rubbery-soft as the other I still wasn't as worried as I should have been… I never even HEARD of this being a danger. Almost cost me my life. Any bumps, lumps, hardness, etc… go to a general doctor, if it's anything to worry about, he'll have you get an ultrasound (also painless) and then you'll know for sure if there's anything to worry about.

  7. Last Saturday I woke up up with pain on my left testicle and it’s been going down but coming back, I’ve noticed I have tiny lumps on the left testicle with pain , is this a sign ?

  8. For Anyone that is concerned about an unusual mass on their testicle, please go see your Doctor. They will recommend seeing a Urologist if they suspect testicular cancer. This is exactly what happened to me. ! My story began when I felt pain in my left testicle. Through self examination, I could also feel a pea-like hard little lump. The Ultrasound confirmed I had a tumor. After prayer’s, surgery And treatment 16 years ago I remain healthy! I hope to inspire any man to see their doctor if they have any symptoms or concern about testicular cancer. It’s worth the trip!

  9. Dr. Phil i think i have a testicle because my balls suddenly hurt and after a 1 day there is something growing a small ball in my balls and sometimes it hurts can you please help me this happen 1month ago

  10. Variety of flavors lol. Think I'd leave the cancerous testicle and have it treated rather than have it removed. Better option would be to have a testicle transplant, but people have weird ethics about it since they assume everyone wants to have offspring. At least then, you'd be able to gain back more testosterone and would feel somewhat normal again, not like you've had part of your manhood taken away from you.

  11. Guys please don't panic! I found a lump about the size of two grains of rice on my left testicle. It was situated on the middle side. After doing research and googling I was convinced it was cancer due to it's position. I immediately went to the doctors which resulted in an appointment to an ultrasound. I was terrified and couldn't sleep. I had myself dead to rights. I immediately started looking into natural remedies as I didn't want Chemo if I eventually was diagnosed with cancer. After looking into banned documentaries on natural cures for cancers I came across the same foods that would reverse any cancer cells etc. Organic Apple Cider Vinegar WITH THE MOTHER, Natural Kefir Milk, Figs, Pukka Tumeric Herbal teas, garlic and avacados. These foods drastically reduced the size of my lump within 3 weeks! After a month when I was eventually got my ultrasound they thought my doctor and I were crazy. The lump had completely disappeared! My bloods and urine tests came back completely normal! The potential cure to any cyst, cancer infection is cleaning up your gut and filling it with good bacteria. But please CUT OUT ALL PROCESSED FOODS AND SUGARS. Eat clean!! Processed foods kill good bacteria which cleans your gut and heals anything that shouldn't be there. This claim may be drastic and sound crazy, but it personal worked for me. Whether it was a cyst, spermicide or cancer it killed it and healed me. I'll never touch a processed food again! Hopefully this helps someone out there and gives them hope!

  12. Listen guys you’re never out of the woods I was cleared the state one, had My right ball removed a Followed CT scan all clear, Had a repeat CT scan within three months it has some how come back, Now four nude in my right lung, What they said by nine but not too sure, Hopefully the chemo will kill it. I got one in Nude In stomach what is 14 inches so now I’ve just done my second round of chemo I have one more round to go. They say the chat out of 100 people four will get this It happened to be the one. Keep positive I fell on top of the world until I got my news cancer is crap you just never know when it comes back… I’m from my experience I never had Tumour markers ever I still don’t have them now I had my last chemo session in four weeks time.

  13. Guys I’ve had testi cancer on my left testicle for quite some time now. Don’t worry about “dying” or any of that nonsense. My left testicle has been cancerous for like 5 years and I’m as healthy as I was then, now. I think I’m finally going to see the doctor because now it’s pretty big lol

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