Prof. Dr. Rahim Horuz made warnings about testicular cancer within the scope of April 1-7 National Cancer Week. Prof. Dr. Horuz stated that if untreated testicular cancer can lead to death, “Testicular cancer is a malignant tumor in the reproductive organ that produces sperm and hormone in men. As with all types of cancer, testicular cancer can be fatal if it cannot be cured. However, it is possible for patients to be saved if they are detected in the early stages and treated appropriately. Testicular cancer is actually a very rare type of cancer. It is known that only 3 to 5 out of 100,000 men are diagnosed with testicular cancer each year. In other words, about 1 in every 250 boys may develop testicular cancer in the future, ”he said.


Pointing out that testicular cancer differs from other cancers, it is seen in young men rather than the elderly. Dr. Horuz “Testicular cancer is usually encountered in the 20s and 30s. The best known risk factor is the condition where we want undescended testis. People with a medical history of undescended testicles are therefore more risky for developing testicular tumors even if they have been operated in childhood. It has been reported that 10-15 percent of men who have undergone surgery for undescended testicles subsequently develop a testicular tumor, ”he said.


Stating that the undescended testicle is seen in infancy, Prof. Dr. Horuz continued his words as follows:

“Normally, the testicles of the male fetus in the abdomen should go down until the time of birth and settle into the ovarian sac. Undescended testicle is the inability of one or both testicles to descend into the ovarian sac until birth. The testicle, which cannot complete this descent process, may be stuck in the abdomen or in the groin area at various levels. Considering that the most important risk factor for testicular cancer is undescended testis, boys should be checked by both the family and the relevant doctors during infancy and childhood. In addition, young people who have undergone surgery for undescended testis are recommended to be aware of the risks associated with testicular tumors and to examine themselves regularly. It should not be forgotten that the surgical abduction of the undescended testicle does not eliminate the risk of tumor development; it only makes it possible to detect the tumor early by feeling it with the hand. “


Prof. Dr. Horuz said, “Most of the time, the first and only symptom of testicular cancer is the perceived mass and hardness. Pain may accompany this stiffness and mass finding in one third of the patients. However, he warned that any stiffness, mass and border irregularity detected in the testicle, whether it is painful or painless, should be treated as if it is cancer until proven otherwise.

“It is vital that a teenager who suspects such a mass in his test should consult a urologist without delay. Since testicular cancer does not cause pain, it can be defined as an insidious disease. The most critical issue is the early detection of the mass in the testicle. For this reason, the most important advice to be made to young men on this issue is to examine themselves periodically for testicular cancer. Especially, those who have delayed testicular descent in childhood or who have undergone surgery due to undescended testis should know that they are in the risky group and should not neglect this self-examination. “


Prof. Dr. Horuz, stating that there is a risk of metastasis when testicular cancer is not treated, said, “It should not be forgotten that testicular cancer, as a type of cancer, can pass to the metastatic stage if it is not treated in time and may pose a vital risk to the patient. It is worth repeating that this disease is fatal if left untreated. Studies have found that although patients have noticed the mass in their testicles, they delayed consulting a physician for an average of 6 months. The most important thing that can be done is to avoid this delay. Testicular cancer is divided into different biological types. In most patients, it appears as a mixture of these species in a certain proportion. No clear time can be given for disease progression and spread; This period will vary depending on the type of cancer and the characteristics of the person. The basic principle of treatment is to hurry, remembering the deadly nature of the disease ”.


Stating that the incidence of testicular cancer is approximately 3 times higher in men with a low potential to have children from the beginning, Prof. Dr. Horuz said, “In addition, since the testicle affected by this disease will be unable to function, it may be more difficult for that man to have a child. Procedures related to the treatment of the disease rather than the effect of the cancer in the testicles can also reduce the potential for having children. First of all, the reproductive ability of the person may be damaged, since most of the time cancerous testicular tissue will be surgically removed from the body and only the opposite testicle will remain. In chemotherapy treatment, there is a possibility that the functions of the other healthy testicles will deteriorate and sperm production will stop. Although sperm production function of the contralateral testicle can improve within a few years after chemotherapy in some patients, reproductive measures should be taken before treatment. In this context, at the beginning of the treatment, the healthy sperm of the patient should be obtained by various methods and sperm freezing procedure should be performed ”.


Prof. Dr. Horuz evaluated the treatment of testicular cancer as follows: “After the physical examination of the physician, ultrasonographic examination is often performed and detailed information about the tumor is obtained. Blood tests are done in these patients; Some special chemical substances secreted by the tumor and called “cancer markers” are tested. If necessary, MRI of the testicular area can also be taken. We learn the type, degree and local stage of the testicular tumor after that testicle is surgically removed and subjected to pathological examination. If the tumor has not spread beyond the testicle, the patient is expected to be cured with the surgery we call orchiectomy. Some time after orchiectomy, the disease may recur in distant areas. Although the disease does not seem to spread, since we have the opportunity to distinguish these patients with some medical criteria, additional low-dose chemotherapy can be given according to the risk levels. If the cancer has spread beyond the testicle, depending on the subtype of the disease and the area where it has spread, there are treatment options such as chemotherapy, sometimes surgery for the back of the abdomen, namely the retroperitoneal area, and rarely, radiotherapy to some specific areas. Thanks to the sensitivity of the cell type that constitutes testicular cancer to chemotherapy, the rate of complete and permanent healing is high even in disseminated diseases. In general, 99 percent of local disease, 70 to 80 percent of disseminated disease, and on average over 90 percent cure is possible. “

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