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Testicular Tumor Surgery

Radical Orchidectomy

RPLND - Retroperitoneal lymph node dissection

Incedence 1.5 percent in a male so its not a very common cancer.

Testicular cancer usually found in young male usually 15-45 Year.

Testicular cancer are of 2 types: Seminoma and Non-Seminomatous.

Symptoms : Patient usually present with scrotal mass, pain in scrotum.

Sometimes patient present with vague abdominal pain. In advance cancer cases patient usually present with cough, loss of weight, loss of appetite very rarely convulsion.

Investigation: Sonography/Doppler of scrotum may give idea about tumor in testis.

Some blood testing also called tumor marker (AFP, B-HCG, LDH) are done.

ctscan of abdomen pelvis and thorex identify spread of tumor in to the abdomen and chest.

Therapy:

Surgery : High Inguinal orchidectomy is diagnostic and therapetic.

RPLND (Retroperitoneal Lymphnode dissection) may required in certain cases. It is a complex surgery in which tumor around major vessels removed and it is performed by expert uro-oncologist. It usually done in cases where tumor persist in abdomen after chemotherapy or sometimes primary RPLND done for small intra abdominal tumor.

Chemotherapy: Most of advance testicular tumor are sensitive to chemotherapy and give good response.

Radiotherapy: Certain cases required radiation especially seminoma.