Health
Testicular Cancer: High Survival Rates Depend on Early Detection, Say Experts
As Testicular Cancer Awareness Month continues, health experts are emphasizing the importance of early detection in fighting the most common cancer affecting young men.
Although testicular cancer is relatively rare, it remains the leading cancer diagnosis among men under 45, with cases peaking in the late 20s and early 30s. Fortunately, when identified early, it is also among the most treatable forms of cancer. According to recent European data, 95% of men diagnosed before age 45 survive at least five years.
Despite these promising statistics, doctors warn that a lack of awareness and social taboos surrounding self-examinations may delay diagnoses. “There is no self-examination culture due to taboos,” said Dr. Hendrik Van Poppel, a urologist with the European Association of Urology and co-chair of the European Cancer Organisation’s inequalities network.
One in every 250 men in Europe is diagnosed with testicular cancer, but certain groups face a higher risk. Men with a family history of testicular cancer, those with HIV or fertility issues, and white men are more vulnerable. Additionally, men with cryptorchidism — a condition where the testicles fail to descend into the scrotum — are at increased risk. Between 5 to 10% of men with testicular cancer had cryptorchidism as children, though the condition can be corrected through surgery.
Van Poppel advises young men and teenage boys to perform monthly self-examinations, preferably during a warm shower or bath when the scrotum is relaxed. “Check each testicle separately for lumps or changes,” he said.
Most abnormalities found during self-exams are not cancer, but a small, painless lump should be evaluated by a doctor. Other signs include enlargement or pain in the testicle, and a scrotum that feels unusually hard, heavy, or achy. Additional symptoms, particularly if the cancer has spread, may include back or lower abdominal pain, unexplained weight loss, a persistent cough, difficulty breathing or swallowing, and chest soreness.
If testicular cancer is diagnosed, treatment usually begins with surgery to remove the affected testicle. Depending on the stage of the disease, chemotherapy or radiation therapy may follow. Some patients choose to have an artificial testicle implanted for cosmetic or psychological reasons.
Fertility may be impacted by certain treatments, so men are encouraged to consider sperm banking before beginning therapy. If the cancer has metastasized, more aggressive treatments or palliative care options may be recommended to manage symptoms and prolong life.
However, experts stress that a diagnosis is not a death sentence. “Many of these guys who are discovered late, even metastatic, can be cured,” said Van Poppel. “But the main goal should be timely detection.”
With awareness and regular self-checks, early intervention remains the key to successful treatment and recovery.
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