Testicular cancer is relatively rare, accounting for only 1% of all cancers (2% of childhood cancers). However, it tends to become more and more common in Western countries. It mainly affects men between 15 and 35 years of age. It usually affects only one of the two testicles, and can have two distinct forms: seminoma and non-seminoma cancers that are mainly in the left testicle.
Testicular cancer is manifested by an increase in volume of one of the two testicles. The mass at the origin of this swelling is painless. Generally, it causes an enlargement of the testis and, more rarely, pain in the groin or abdomen. Experiencing a feeling of heaviness or discomfort in the scrotum is uncommon but can occur. If there are associated cancers, symptoms may include (bone pain, swollen glands, coughing in the case of lung cancer ...).
The diagnosis of testicular cancer is usually accidental. It takes place often while checking for some other pathology (fertility test for example), or it is discovered by the patient himself. When you suspect such a problem, you should consult your doctor, who will check your family history and carry out a full assessment. He will also order blood tests, and to further complete the diagnosis, an ultrasound of the scrotum. A biopsy will help establish the diagnosis of testicular cancer with certainty.
The first part of the treatment of testicular cancer is the removal of the cancerous testicle. It is possible to put in a prosthesis to support the patient psychologically. The surgery can sometimes be accompanied by radiotherapy, chemotherapy or a combination of both. In other cases, surgery alone is sufficient. Everything depends on the evolution of the tumor and the general health of the patient.
Although limited, the prevention of testicular cancer is possible. It consists of a monthly checking of the testicles by the patient himself, especially after a warm bath or shower, when the scrotum is more flexible. By standing in front of a mirror, one should gently palpate his testicles by rolling them between his thumb and index finger in search of a lump or lumps. If all goes well, the testicles should be smooth and ovoid.