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Treatment for Testicular cancer - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I am 25 year male from India.I had a ultra sound done. Here is what report says,
FINDINGS: There is enlargement of the left testicle wot diffuse heterogenous appearance. The appearance is suspicious for a mass lession. Howerver there is hypervascularity of the epididymis and the findings could represent epididymal orchitis. Testicular neoplasm is not excluded and patient will need careful followup. Vascularity preserved in both testicle without evidence of torsion. Minimal hydrocele seen on the right. The right testicle is normal in appearance..
IMPERESSION: Enlarged heterogeneous appearing left testicle is suspicious for testicular neoplasm. However marked vascularity of the epidymis could indicate this is epididymal orchitis. Patient will need careful followup to exclude testicular neoplasm.
I met urologist and he told me he had to remove the testicle by surgery, he didnt say anything about biospy or anything. My testicle is about 4-5 times larger than right one.
Doctor :   hello
User :   can you help me with this one
Doctor :   sure just give me a min
Doctor :   i am going thru your query
Doctor :   when was this report taken ?
User :   yesterday
User :   I had met urologist today
Doctor :   i see
Doctor :   ok i will explain you the whole thing
User :   I also have pain in lower abdomen, after seeing the symptoms online i thought it was orchitis
User :   ok
Doctor :   see especially in the suspicion of testicular carcinoma . we DON'T RECOMMEND biopsy . as the testicular area is very vascular
Doctor :   and the needle of the biopsy can actually
Doctor :   spread the tumor more
Doctor :   thats why a removal is the only option
User :   but cant it be just orchitis which can be cured by oral medicine
Doctor :   you have TWO findings
Doctor :   one that suggest orchitis
Doctor :   and the other neoplasm
Doctor :   have you lost weight recently ?
User :   nopes
User :   but i was working out with weights
Doctor :   also i will STRONGLY recommend that you should definitely get a second opinion from another urologist
User :   are you not a urologist??
Doctor :   i am general physician, i told you why the biopsy is NEVER done
User :   also my urologist want to operate it within 5-7 days
Doctor :   but a PHYSICAL examination is also must
User :   he did physcial exam today, and i told him there is pain in testicle and lower abdomen
Doctor :   there is no harm in a second opinion, i have read the report and understood , but i hope you do understand that it is really important that how important it is that the physician see you in person
Doctor :   i know its a stressful decision for you
User :   ok and one more thing, will it affect my fertility as i am single and no gf
Doctor :   and i want to guide you properly
Doctor :   where are you located ?
Doctor :   let me see if i can help you finding a urologist in your area
User :   I tried finding some urlogist but most of them are not available today they are there on monday
User :   I live in downers grove, IL
Doctor :   well you can wait till monday
Doctor :   there is no problem
User :   can you tell me if there is some urlogist available today in my area?
Doctor :   we have a data base of doctors in India
User :   I am in US thats the problem, and no one is with me. thats why i am a bit scared
Doctor :   well dont worry
Doctor :   it will not have a long time effect on your health
User :   and recovery will be good right?
Doctor :   yes the recovery is full
Doctor :   and you will be able to carry on with your normal lifestyle
User :   no need of sperm banking?
User :   before operation
Doctor :   no thats not required
User :   what if i came to india for that?
User :   how much is total cost for all this?
Doctor :   it depends from place to place
User :   mumbai
Doctor :   where in india you are from ?
User :   can you give me a rough figure
Doctor :   i will call and give you the details as your timings is getting up

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