Testicular Cancer: Symptoms, Causes, Stages & Treatment in Bangalore

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Testicular Cancer: Symptoms, Causes, Stages & Treatment in Bangalore

Have you felt a small lump while taking a shower? Has it scared you to Google your symptoms? Men, you are not alone. 

Most men notice testicular cancer symptoms in a similar way. The lumps are mostly painless, hence they easily go unnoticed. But folks, there is good news. Testicular cancer is highly curable, especially in the early stages. 

In most cases, it is detected from a testicular mass or swelling. However, with timely help from doctors, treatments such as surgery or medicine work really well.

NU Hospitals is one of the trusted testicular cancer hospitals in Bangalore. We offer specialized care for all urological cancers. 

In this guide, we will talk more about testicular cancer symptoms, causes, and treatment. This will help you to stay active and know when to look out for help. 

What Is Testicular Cancer?

Testicular cancer happens when the cells in one or both of your testicles start to grow out of control. This is a common type of cancer for men between the ages of 15 and 45. While testicular cancer is not that common, understanding it is a huge step in preventing oneself from the disease. 

The survival rate of testicular cancer is quite high if diagnosed early. Hence, staying aware and self-checks are quite important. 

Types of Testicular Cancer

There are two major types of testicular cancer based on the cells they develop from. 

1. Seminoma Testicular Cancer

  • Seminoma is more common in older men.

  • It grows quite slowly.

  • It is usually diagnosed at an early stage.

  • This type of cancer generally responds well to radiation and chemotherapy. 

2. Non-Seminoma Testicular Cancer

  • It is the most common type of testicular cancer. It is noticed even more in younger men. 

  • It grows faster than seminomas.

  • There are several different subtypes, like choriocarcinoma, yolk sac tumors, embryonal carcinoma, and teratoma.

  • Requires more aggressive treatment. 

For a few men, the tumor can be a mix of both types. 

Stages of Testicular Cancer

Testicular cancers are broadly divided into seminomas and nonseminomas. The stages of testicular cancer include;

Cancer Stage

TNM + S Criteria

Cancer Spread

Features

Stage 0 - Carcinoma in Situ (GCNIS)

Tis, N0, M0, S0

Cancer is confined to the testis (germinal epithelium)

This is known as the pre-cancerous stage, where the abnormal cells are present but have not spread or invaded the surrounding tissues

Stage 1

T1–T4, N0, M0, S0 (or SX)

Cancer is present and limited to the testicle and/or nearby structures, but not to the lymph nodes

Stage 1 is subdivided as:

Subdivided as:

  • IA: no vascular/lymphatic invasion, normal markers

  • IB: may have vascular/lymphatic invasion, still no spread

  • IS: tumour confined, but cancer markers remain elevated after orchiectomy

Stage 2

Any T, any N, M1, S0–S3

Cancer is widely spread. You can notice distant metastasis to lymph nodes, lungs, liver, and brain

This stage includes elevated tumour marker levels. 

Substages based on marker levels & sites of spread.

Please Note: TNM + S staging system is used in the table (Tumour, Nodes, Metastasis, Serum tumour markers)

Signs and Symptoms of Testicular Cancer

The most common testicular cancer symptoms are a lump or swelling in either of your testicles. Here is what you must look out for.

  • A lump or testicular mass that is usually painless.

  • Testicular swelling or enlargement of one of your testicles.

  • A heavy feeling in the scrotum.

  • Pain or discomfort in your scrotum or groin.

  • Back pain or abdominal discomfort.

If you notice or experience any of these symptoms, it is suggested that you consult with a uro-oncologist today

Risk Factors for Testicular Cancer

While the exact causes of testicular cancer are unknown, there are certain factors that can increase your risk. Here are a few of the common risk factors for developing testicular cancer.  

  • Undescended Testicle

An undescended testicle is a major risk factor. If a testicle does not move into the scrotum before birth, it is more likely to develop cancer.

  • Family History

If your close family member had testicular cancer, you may be at risk.

  • Personal History

If you have had cancer in one testicle, you might have a higher risk of getting it in the other.

  • Race

White men are more likely to get testicular cancer than men of other races. 

Diagnosis of Testicular Cancer

If you feel a testicular mass, our uro-oncologist will begin the diagnosis with a physical exam. Then, they might recommend the following to get a proper diagnosis for the treatment of Testicular Cancer. 

  • Testicular Ultrasound

Ultrasound is a painless test that uses sound waves to create a picture of your scrotum. It will show if your lump is solid (possibly a tumor) or filled with fluid.

  • Blood Tests (Tumor Markers)

Certain blood tests can detect tumor markers. Markers are substances that certain tumors produce.

  • Surgical Diagnosis (Orchiectomy)

The only way to positively diagnose testicular cancer is through a surgical procedure called orchiectomy. The entire testicle is removed through a small incision in the groin. This is the safest way to prevent your cancer from spreading and to confirm your diagnosis.

Testicular Cancer Treatment at NU Hospitals, Bangalore

Your treatment for testicular cancer will depend on several factors, such as its type, stage, and severity. However, the cure rate for testicular cancer is quite high. 

1. Surgery for Testicular Cancer (Orchiectomy)

  • Removal of your affected testicle with the help of a small groin incision.

  • Surgery is the primary treatment for almost all testicular cancer cases.

  • Men usually adapt well to one testicle. Testosterone and fertility may remain normal even after the surgery.

2. Radiation Therapy for Testicular Cancer

  • Radiation therapy is often used in seminomas.

  • Targets cancer cells that are left after surgery.

3. Chemotherapy for Testicular Cancer

  • Chemotherapy is a powerful drug that helps to kill your cancer cells.

  • It is used if your cancer has spread or is aggressive.

4. Active Surveillance After Treatment

  • For very early cancer cases, close monitoring is required after orchiectomy.

5. Recovery After Orchiectomy and Fertility Preservation

  • Most men recover from orchiectomy surgery within 2–3 weeks.

  • However, some men will experience mild discomfort or swelling initially.

  • Fertility can be affected if both testicles are involved or if chemotherapy/radiation is needed. Doctors often advise sperm banking before treatment for such cases.

Testicular Cancer Care in Bangalore: Symptoms, Causes & Advanced Treatment


Common Symptoms of Testicular Cancer 

Causes of Testicular Cancer

Advanced Treatment Options Available in Bangalore

Painless testicular lump

  • Genetic mutations

  • Undescended testicle

  • Family history

  • Abnormal testicular development

  • Age (15–35)

  • Ethnicity

Surgery (orchiectomy)

Radiation therapy

Chemotherapy

Testicular swelling

Dull ache or heaviness

 

Men taking care of yourself means listening to your body and being aware of the slightest changes. Regular self-exams are a simple habit that can save your life.  If you feel anything unusual, even the slightest testicular swelling, don’t hesitate to talk to a doctor. Early detection is a game-changer for testicular cancer.

If you are in Bangalore and looking for expert care, NU Hospitals,  among the top men's health clinics and cancer centers in the country. We have a team of highly skilled urologists and oncologists in Bangalore, who offer advanced diagnostics and personalized treatment plans for you. Schedule an appointment with the Best-in-class Uro-Oncologist in Bangalore

Frequently Asked Questions About Testicular Cancer 

1. What are the first signs of testicular cancer?

The first sign of testicular cancer that most men experience is testicular swelling or a testicular mass. If you are experiencing testicular swelling, you should always get checked by a doctor. 

2. How is testicular cancer treated?

The primary treatment for testicular cancer is surgery (orchiectomy). However, depending on your stage and type of testicular cancer, chemotherapy or radiation will be suggested by your oncologist.

3. Can fertility be affected?

A single orchiectomy doesn't usually affect a man's ability to have children, as the other testicle can still produce sperm. However, if both your testicles are affected and if chemotherapy is needed, your fertility can be impacted. It’s important that you talk to your doctor about sperm banking choices before your treatment.

Reference Links:

https://my.clevelandclinic.org/health/diseases/12183-testicular-cancer

https://www.mayoclinic.org/diseases-conditions/testicular-cancer-care/symptoms-causes/syc-20352986

https://medlineplus.gov/ency/article/001288.htm

Dr. Pramod Krishnappa

Medically Reviewed By:

Dr. Pramod Krishnappa

Sr. Consultant Andrologist & Urologist

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