Our urologists are leaders in the field of multi-disciplinary approaches to diagnosing and treating testicular cancer.

A team of surgeons, medical oncologists, radiation oncologists, pathologists, researchers and more assesses the individual needs of every patient. We are home to a world-renowned urologist who is an expert in minimally invasive laparoscopic and robotic-assisted cancer surgery.

Testicles are part of the male reproductive system. These two organs are each normally a little smaller than a golf ball in adult men and are contained within a sac of skin called the scrotum. Their main functions are to make sperm and male hormones such as testosterone.

Testicular Cancer

More than 90 percent of cancers of the testicle develop in germ cells. These are the cells that make sperm. There are two main types of germ cell tumors:

  • Seminomas: These tumors tend to grow and spread more slowly than non-seminomas. More than 95 percent of seminomas occur in men between the ages of 25 and 45.
  • Non-seminomas: These types of germ cell tumors usually occur in men in their late teens and early 30s.

Signs and Symptoms

Symptoms of testicular cancer include:

  • A lump or swelling of a testicle
  • Breast growth or soreness
  • Low back pain
  • Early puberty

Staging

If you are diagnosed with testicular cancer, your urologic oncologist will determine the stage of the disease. Staging is a way to classify cancer by how much of the disease is in the body and whether it has spread. This helps doctors plan the best way to treat the cancer.

pTis:  This stage is carcinoma in situ (CIS), often a precancerous condition in which there are germ cells that appear cancerous but are not yet behaving the way cancer cells do. CIS becomes cancer when the cells spread to areas of the testicle(s) where they do not normally belong.

pT1: The primary tumor is only in the testicle, which may include the rete testis. It has not grown into blood vessels or lymph vessels in the testicles. The tumor may have grown into the inner membrane layer surrounding the testicle, called the tunica albuginea. It has not spread to the outer membrane layer surrounding the testicle, called the tunica vaginalis.

 

pT2: The tumor is in the testicle, which may include the rete testis, and it has grown into blood vessels or lymphatic vessels. Or the tumor has grown into the fatty tissue next to the epididymis called the hilar soft tissue, the epididymis, or the tunica vaginalis, with or without growth to blood or lymph vessels.

pT3: The tumor has grown into the spermatic cord, without or without growth to blood or lymph vessels.

pT4: The tumor has grown into the scrotum, without or without growth to blood or lymph vessels.