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- $Unique_ID{BRK02366}
- $Pretitle{}
- $Title{What Should I Do About A Mass In My Scrotum?}
- $Subject{scrotum testicular cancer tumorous metastasizing lump mass testicle
- infertility hydrocele hematocele epididymis lymph nodes chemotherapy radiation
- therapy cancers neoplasm neoplasms genitourinary system testicles testis
- testes scrotal tumor tumors lumps masses fertility infertile fertile sterile
- sterility}
- $Volume{B-15,J-15,J-22}
- $Log{
- The Testes*0002907.scf
- Anatomy of the Male Reproductive System*0006001.scf}
-
- Copyright (c) 1992,1993 Tribune Media Services, Inc.
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- What Should I Do About A Mass In My Scrotum?
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- QUESTION: I think I feel a mass in my scrotum, but am afraid of what my
- physician may put me through. Would you please explain, in some detail, how
- they diagnose and treat testicular cancer? I really need some detailed
- information to help me and hope you will chose this question for your column.
- Please?
-
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-
- ANSWER: Testicular cancer is not a very common cancer, but there are 5000 new
- cases each year in the United States and it is the most common tumorous cancer
- in men between age 15 and 35. As with many cancers, there are several forms
- of testicular cancer, but almost all are capable of metastasizing, meaning
- that they can spread through the body.
- Most testicular cancers are discovered by the patient, who notices a lump
- or mass in one testicle. Some cases are discovered when a man is being
- evaluated for pain in the scrotum or infertility.
- Testicular cancer is diagnosed through careful examination by a
- physician, during which the scrotum will be evaluated and manipulated. The
- physician will often shine a light through the thin skin of the scrotum to see
- if the lump is translucent. This examination will eliminate other conditions
- such as hydrocele or hematocele, which are small sacs of fluid, and infections
- or injuries of the testicle or epididymis, and as such, allow the light to
- pass through the mass. Ultrasound examination can also be used. Some
- laboratory blood tests are also helpful in making an accurate diagnosis.
- If cancer is still suspected, the testicle can be evaluated surgically.
- A biopsy may be taken during surgery, and if the results show malignancy, a
- decision to remove the testicle is made. Chemotherapy is also a potent weapon
- in treating many cancers of the testicle, sometimes is used as a treatment of
- choice, usually in conjunction with surgery.
- A general examination will also be done if cancer is suspected, because
- testicular cancer can spread quickly to the lymph nodes, lungs, and elsewhere.
- After surgery, most testicular cancer patients will undergo radiation therapy
- to try to kill all cancer cells. Chemotherapy may be substituted for or added
- on to radiation therapy depending on what type of testicular cancer was
- diagnosed. In some cases, if the cancer has spread to the lymph nodes, the
- nodes may have to be removed also.
- The extent of the disease depends on how soon it is caught. Like many
- women who discover a breast lump, many men who find a testicular lump delay in
- seeing a doctor, which is a mistake since it only gives the cancer a chance to
- spread.
- As with many cancers, the survival rate for testicular cancer depends on
- how widely it has spread before it was diagnosed. However, if caught quickly,
- survival rates are good and testicular cancer can be completely cured. Most
- men who have survived testicular cancer can resume their sex lives. But early
- diagnosis of testicular cancer is imperative. All men should learn how to
- examine their testicles and scrotum regularly just as women examine their
- breasts. It is an excellent early screening technique.
- You can now see how important it is for you to make a rapid decision to
- seek the medical attention that can lead to the correct diagnosis, and more
- important still, help get your treatment started at the earliest possible
- moment.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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