Diagnosis of Testicular Cancer
by Michael Jubinville, MPH
Your doctor will ask you about your symptoms, health, and family history. The testicles and nearby structures will be fully checked. Your doctor will look for other causes of the problems you’re having.
Suspicion of Testicular Cancer
You will need more tests if your doctor thinks you have problems or finds something during the exam. Tests can help find cancer or other problems such as epididymitis. These may be:
Diagnosis of Testicular Cancer
During a radical inguinal orchiectomy, a testicle is removed. It's then sent to a lab for testing. In most cases, testicles with masses seen on ultrasound are removed though the groin rather than the scrotum. This helps lower the chances of any cancer spreading. Once it’s been tested, the stage of cancer can be found.
Staging of Testicular Cancer
If cancer is found, results from all your tests will help find out what stage it's in. The stage is based on how the cancer looks in a lab. It will help your doctors come up with ways to treat it. The stage of cancer is based on where it’s found and how far it’s spread.
Tests that may help with cancer stage are:
Stages of Testicular Cancer
These may be involved:
Testicular cancer is staged from 0-3:
How is testicular cancer diagnosed? Urology Care Foundation website. Available at: https://www.urologyhealth.org/urologic-conditions/testicular-cancer/diagnosis. Accessed October 1, 2020.
Stages of testicular cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/testicular/patient/testicular-treatment-pdq#section/_26. Accessed October 1, 2020.
Testicular cancer. EBSCO DynaMed website. Available at: http://www.dynamed.com/topics/dmp~AN~T907377/Testicular-cancer. Accessed October 1, 2020.
Tests for testicular cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/testicular-cancer/detection-diagnosis-staging/how-diagnosed.html. Accessed October 1, 2020.
9/6/2016 DynaMed Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T907377/Testicular-cancer: Yacoub JH, Aytekin O, Allen BC, et al. ACR Appropriateness Criteria for staging of testicular malignancy. Available at: https://acsearch.acr.org/docs/69375/Narrative.
Last reviewed September 2020 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP
Last Updated: 12/4/2020
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