Doctor insights on:
Testicular Teratoma Prognosis
Potentially serious: A nonseminomatous germ cell tumor is a malignancy that has multiple origins within the testicle. It is less common, but potentially more serious, than seminomas of the testicle. Early and aggressive treatment is necessay and can lead to cure in many patients that present with limited disease. Systemic chemotherapy is now available for patients that present with advanced tumors. ...Read more
Had metastatic germ testicular tumor in right testicular and testicular removed. Will tumor happen again ?..Is it fully curable ?
Clarify?: The large majority of men with a testicular germ cell cancer that metastasizes can expect a cure with today's medications. Usually two years disease-free means you can expect it not to recur. While the healthtap team is glad to help, you also owe it to yourself to get your physicians' full answer to all your questions. ...Read more
Dumb luck: A few rare genetic syndromes put you at risk and there's a slight family tendency. A make-no-sense article a few years back blaming exercise probably reflected reporting bias. If you have a cryptorchid testis and it's not been fixed when it should have been, the risk is much higher. White guys are at the greatest risk, no one knows why. ...Read moreSee 1 more doctor answer
Had testicular cancer in left testicular. & testicular removed. Yesterday diagnosed hydrocele in right testicular. Will it become a testicular cancer?
Different entities: I'm glad the original testicular cancer is history. If you've had a good imaging study and there's no testicular cancer on the right, i would not worry about the hydrocele -- these are extremely common. You're correct to believe that a second primary in the opposite testis is somewhat more common than random chance. Ask your physician about banking sperms. Good luck. ...Read more
Microsurgical inguinal varicocelectomy (grade III). Large, left, hangs below testicle. What is the prognosis for complete reabsorption?
Good Prognosis.: While the traditional varicocoelectomy operation has a recurrence rate of as much as 25%, the microsurgical technique has a recurrence rate of only 1% or less. ...Read more
See answer: 1) ~15-20% of males have a varicocele; most common on left side; almost always asymptomatic requiring no treatment; except can be associated with infertility in small % especially if testicular size is small. 2) testicular microlithiasis: ~5% of males; asymptomatic requiring no treatment except regular self-exam for testicular mass because of weak association with testicular cancer. See urologist. ...Read more
Related to spread: Metastatic refers to a cancer that has spread from the original site that it originated from to a more distant site in the body. For example, if a woman had ovarian cancer and it spread to the lungs then this would be consider metastatic disease. ...Read moreSee 1 more doctor answer
Unfortunate: This is usually an unfortunate situation. The most common primary site will be somewhere in the intestinal tract, like the stomach. The pathologists will try many stains on the tissue to help define the origin. This helps with choosing the most appropriate chemotherapy. ...Read moreSee 1 more doctor answer
Not good: Unfortunately pure testis choriocarcinoma prognosis is poor, in stage iii lymph nodes of both sides of diaphragm are involveed with out organ involvement , with recent advances in chemotherapy other forms , seminoma and some germ cell tumors has much better prognosis. ...Read moreSee 1 more doctor answer
See below: Undescended testis is usually diagnosed by physical examination. Ultrasound is used if no testicle can be palpated on either or both sides. Inguinal and abdominal/pelvic us can demonstrate testes in the inguinal canal and most intra-abdominal undescended testes. This helps in management and choice of surgical approach. I perform laparoscopy to find possible intra-abdominal udts if not found by us. ...Read moreSee 1 more doctor answer
Prostate cancer: This is an advanced stage of prostate cancer; the good news is there are many new drugs and treatments for men in this stage that have been shown to extend life; in this stage survival is extremely variable from months to years isn't impossible. ...Read moreSee 1 more doctor answer
Operated undecended testicle showed tumor cells . Enlarged paraaortic lymph node in ct. But tumor markers normal. High alt(67). Is it still seminoma?
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. ...Read more
R intra abdominal testisicle post op. Path shows seminoma. Solitary interaortocaval lymph node 2.3*2.3 CM reduced to 2*1.5. Is it seminoma spreading?
Yes possible: With out knowing stage and cell type of ovarian cancer , in general high dose chemotherapy with autologous ( patients own ) stem cell transplantation is promising to prolong the life, cure is not near yet, as most of the tumors are drug resistant ( or right drug is not there ) and have residual tumor in the body. ...Read moreSee 1 more doctor answer