Presentation on theme: "Presentation at WHRHS Alex Hohmann February 21-22, 2012"— Presentation transcript:
1 Presentation at WHRHS Alex Hohmann February 21-22, 2012 Testicular CancerPresentation at WHRHSAlex HohmannFebruary 21-22, 2012
2 Alex’s testicular cancer First in 1996 (age 30): surgery & radiotherapySecond in 2008: surgery and surveillance
3 Alex’s post-diagnosis goals Healthy lifestyle and surviving cancer wellAdvocacy, fund raising and education2009 LIVESTRONG 5K2010 LIVESTRONG 45-mile ride2011 LIVESTRONG 5K
4 Basic facts about TCTesticular cancer includes different cancer cell types (seminoma vs non-seminoma) that typically appear first in the testesTC does not have any clearly identified causesMen with TC were most likely born predisposed to itTC rates seem to be higher in men born with an undescended testicle and are highest among Caucasian men
5 TC by the numbers* 8300 men diagnosed with TC in US in 2011 Most common cancer in men ages 15 to 40Overall 5-year survival rate of 95%Localized (confined to testes) survival of 99%Almost 400 men die each year as from TCEarly detection is critical to survivalIf TC is caught early and treated correctly, survivors live full and healthy lives* All figures from the Sean Kimerling Testicular Cancer Foundation, National Cancer Institute, and American Cancer Society
7 Early detection of TC Examine testicles at least once a month Look for presence of a pea-sized mass attached to testes or for scrotal enlargementOther symptoms may include feeling of heaviness in scrotum, severe and worsening back ache, breast tendernessSee a urologist at the first sign of any of these symptoms. Do not delay.
8 Diagnosis of TCUrologist will examine testicle and, if indicated, order a scrotal ultrasound to be done right awayThe ultrasound is quick and painlessUltrasound images are examined by a radiologist who will report back to the urologist if there are signs of a tumorUrologist will draw blood and order a CT scan to be done right away
9 Treatment of TC: first steps Entire testicle must be removed in a short procedure called an inguinal orchiectomy, usually down outpatientBiopsy of the testicle, as well as CT scan and blood tests determine type (seminoma vs non-seminoma) and staging (1, 2, 3)Post-orchiectomy treatment and follow-up vary according to type and stage and are done under the care of an oncologist
10 Treatment of TC: next steps Depending on cell type, stage 1 TC may require only follow-up testingNon-seminoma may require further surgery (RPLND) for biopsy or treatmentSome patients elect adjuvant radio- or chemotherapy to reduce relapse riskRelapse (cancer shows up again, often in lymph nodes) must be treated immediately with chemo- or radiotherapy
11 Effects of TC and treatment Loss of one testicle does not usually impair testosterone and sperm productionRadio- or chemotherapy can impair sperm production so some men bank spermA second TC is very rare, resulting in loss of fertility and need for hormone replacementProperly treated and followed up by a doctor, majority of TC survivors have normal sexual performance and live a fully and healthy life
12 Memorial Sloan-Kettering Cancer Center, New York Alex’s treatmentFirst TC (‘96) stage 1 seminoma: surgery, radiotherapy, 5 years of surveillanceSecond TC (‘08) also stage 1 seminoma: surgery, prostheses installed, up to 20 years of surveillance, lifetime testosterone replacementBilateral TC (2x) is extremely rareHealthier than everMemorial Sloan-Kettering Cancer Center, New York
13 Alex’s lessons from cancer There was no way of avoiding TCThere are others facing the same thingKeep a sense of humor
14 Alex’s lessons from cancer Don’t take health for grantedBe grateful for life by giving back to othersDon’t be shy about speaking up
15 Points to remember Know your body Live a healthy lifestyle Get a complete physical regularlySee a doctor ASAP at any sign of troubleHave someone (e.g. loved ones) with youAsk questions and take good notesReach out for supportDon’t be shy about discussing health issuesAbove all, don’t die of embarrassment!
16 Other disorders of the testes Varicocele: swelling of testicular blood vesselsHydrocele: accumulation of fluid in scrotumEpididymitis: inflammation of the epididymisOrchitis: inflammation of the testiclesPrimary hypogonadism: low testosterone due to failure of testes to produce itCryptorchidism: undescended testicleTesticular torsion: interruption of blood supply due to twisting of spermatic chordTesticular rupture due to blunt force