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Self examination — For any male presenting with a solid, firm mass within the testis, testicular cancer must be the considered diagnosis until proven otherwise.
Scrotal ultrasound — This ultrasound can distinguish intrinsic from extrinsic testicular lesions with a high degree of accuracy.
CT scan — A high-resolution computed tomography (CT) scan of the abdomen and pelvis can assist with diagnosis.
Serum tumour markers — Serum tumour markers alpha-fetoprotein (AFP), beta-hCG and lactate dehydrogenase (LDH) are often elevated in testicular cancer.
This is dependent on stage of disease and needs to be discussed with your doctor.
Your treatment may include the following modalities:
Radical orchidectomy — A radical orchidectomy should be performed to permit histologic evaluation of the primary tumour and to provide local tumour control.
Chemotherapy – Chemotherapy is used when the tumour has high risk features or when there is evidence of spread
Radiotherapy – High dose X-ray is used for specific tumour types when there is evidence of spread
After treatment of testicular cancer, patients are advised to perform regular testicular self-exam (refer to images below) and for close follow-up with your treating urologist.
Response to treatment is assessed after the initial induction cycle by repeat imagining and re-evaluation of tumors markers.