Question 1

what is the difference between seminoma and nonseminoma cancer of the testicles?

Accepted Answer

Different tumors: Over 90% of testis tumors are germ cell tumors which are  seminoma, non-seminoma or mixed depending on the type of malignant cell.  Classic seminoma is the most common testis tumor in adults.  Almost all testis tumors are initially treated by surgical removal (orchiectomy).  Then, based on the type of tumor and stage (aggressive characteristics, spread to lymph nodes) determines next treatment.

Question 2

post op seminoma, in r testicle.  pet scan done for suspecious nodes. pet scan result shows negative for any abnormalility. this means no seminoma?

Accepted Answer

Surveillance: A negative pet scan means there is no accumulation of cancer cells large enough to be discernible by the pet scanner. There is a resolution limit of about 7mm in size to be seen, some are better now. I am not trying to scare you, but your doctor i'm sure will continue to caution you and continue surveillance for a period of time safe to say you are cancer-free.

Question 3

right testicle operated showed seminoma. ct showed enlarged paraaortic lymph node. does this means metastatis or due to surgery?

Accepted Answer

Usually metastasis: Seminoma can occur in testes or the mediastinum as the primary tumor, it is classified as one of the germ cell tumors.
If there is regional paraaortic node histooogic involvement if usually  is metastasis. Chemotherapy and/or radiation has very good cure rate even with metastases. At surgery they sample the regional nodes for involvement to determine best treatment for patient.

Question 4

operated undecended testicle showed tumor cells . enlarged paraaortic lymph node in ct. but tumor markers normal. high alt(67). is it still seminoma?

Accepted Answer

In situ?: The diagnosis of seminoma is made on examination of tissue by the pathologist; tumor markers and imaging are ancillary studies. An undescended testis often has premalignant cells lining the tubules; these are not yet cancer and if gone will not be troublesome. If you were told there was indeed an actual seminoma, that's a different story & you may require followup such as biopsy of the node.

Question 5

seminoma in post op intra abdominal r testicle (undcnd), l testicle normal in ultrasound scan, azoospermia in semen analysis. can i father in future?

Accepted Answer

More info: If u got chemo, it may take a few years to regenerate sperm. Also, seminoma is often treated with radiation but they likely shielded your left testis.  I don't have enough information to predict how you're going to do.

Question 6

what is the difference between a hernia and testicle cancer?

Accepted Answer

Pathology: Hernia is benign happened secondary to abdominal muscle weakness while testicular cancer is malignant growth.

Question 7

in testicular cancer, how often is there not a palpable mass on the testicle and the cancer is inside the testicle.difference between on and in common?

Accepted Answer

Not meaningful diff.: This may be a semantic distinction more than a biological one.  The cancer arises within the testicle, but may extend to the surface of that organ and bulge away from its surface.  Thus, the tumor may FEEL to be on the testicle even though it has arisen from within it. Not all testicular cancer extends to the surface of the testicle.  Palpation is clearly inferior to ultrasound examination here.

Question 8

does non seminoma testicular cancer made up of embryonic and yolk sac spread and where to?

Accepted Answer

Can spread: Can spread to any part of the body including the brain ; need full body scan to eval.

Question 9

i had a seminoma cancer. i got my semen's analysis done but there was no sperm ( azospermia). can you please tell me if i'm having azosperia because of cancer?

Accepted Answer

Not sure: That is entirely possible. However there could be scarring inside the testicle that blocks sperm from getting outside. It would be appropriate to have some blood testing done and an exam with a urologist to get a better sense of what is going on. It is possible there are sperm inside but need surgical extraction rather than release by ejaculation.

Question 10

is there any relation between azoospermia and seminoma cancer?

Accepted Answer

Low sperm counts: Are common in men with testis cancer, seminoma and non-seminoma. Reason is not clear. Some believe there is a developmental issue, undescended testis also at higher risk, others blame anesthetics. Truth be known, we do not know.

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Doctor answers about:

What is the difference between seminoma and nonseminoma cancer of the testicles

A member asked:

What is the difference between seminoma and nonseminoma cancer of the testicles?

A member asked:

Post op seminoma, in r testicle. pet scan done for suspecious nodes. pet scan result shows negative for any abnormalility. this means no seminoma?

A member asked:

Right testicle operated showed seminoma. ct showed enlarged paraaortic lymph node. does this means metastatis or due to surgery?

A member asked:

Operated undecended testicle showed tumor cells . enlarged paraaortic lymph node in ct. but tumor markers normal. high alt(67). is it still seminoma?

A member asked:

Seminoma in post op intra abdominal r testicle (undcnd), l testicle normal in ultrasound scan, azoospermia in semen analysis. can i father in future?

A member asked:

What is the difference between a hernia and testicle cancer?

A member asked:

In testicular cancer, how often is there not a palpable mass on the testicle and the cancer is inside the testicle.difference between on and in common?

A member asked:

Does non seminoma testicular cancer made up of embryonic and yolk sac spread and where to?

A member asked:

I had a seminoma cancer. i got my semen's analysis done but there was no sperm ( azospermia). can you please tell me if i'm having azosperia because of cancer?

A member asked:

Is there any relation between azoospermia and seminoma cancer?

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