Testicular cancer
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Testicular cancer is a rare malignant tumor of the corresponding organ. Disease incidence in different countries rates from 1 to 3 cases per 100.000 people a year. Average age of the patients is about 30 years old. This disease has a favorable prognosis for the majority of patients in the case of timely treatment. Full recovery is possible even in the case of metastasis.
The Booking Health portal presents 69 German clinics specializing in testicular cancer treatment
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Testicular cancer – Diagnostics
Doctor can suspect the testicular cancer after the detection of the palpable formation. Palpation with the rolling method helps to distinguish the tumor from the dropsy.
Further, the following non-invasive methods of diagnostics are performed:
- Diaphanoscopy (transillumination of the scrotum with the light beam)
- Scrotum and pelvic organs ultrasound examination
- Chest X-ray (for the extragenital tumor detection in the mediastinum)
Invasive methods of diagnostics (testis puncture) are rarely performed, only in case of the doubtful diagnosis, if the formation has not decreased after 2 weeks of treatment.
In this case, the vessels in the inguinal canal are necessarily occluded to avoid the dissemination of the tumor cells.
Laboratory examinations are aimed to determine the blood level of:
- β-chorionic gonadotropin
- α-fetoprotein
- Lactic dehydrogenase
These markers of the testicular cancer help to determine the therapeutic tactics, assess the life and reproductive function prognosis.
Testicular biopsy is performed only intraoperatively. It allows the doctor to identify the histological type of the tumor, in order to select the further therapeutic tactics.
Best clinics for the testicular cancer diagnostics in Germany:
Testicular cancer – Treatment
The basic treatment in the case of testicular cancer is surgery. The patient undergoes the high orchiectomy. A testicle, its appendage, the shell, and the spermatic cord up to the deep inguinal ring are removed.
Further therapeutic tactics is selected by the doctor according to the histological type of the tumor and stage of the disease. Seminoma and nonseminomatous tumors are treated differently.
The following treatment methods are used:
- Radiation therapy (performed in the case of a seminoma) – lymph nodes are irradiated on the tumor side. Scrotum is also irradiated in some cases.
- Chemotherapy.
- Retroperitoneal lymphadenectomy (the removal of the lymph nodes) is always performed in case of a nonseminoma tumors.
New treatment methods are being developed for the patients with a poor prognosis. One of the latest achievements is development of the program when the high doses of chemotherapy are used to suppress metastases of the testicular cancer. This type of treatment inhibits the bone marrow function and the patient requires further treatment with the stem cells in order to restore the hematopoiesis.
One of the American trials has shown that this way of treatment allows to achieve the two-year remission in 63% of patients with the metastatic testicular cancer.
Best clinics for the testicular cancer treatment in Germany:
Testicular cancer – Rehabilitation
Most patients require rehabilitation after the treatment of complex oncological diseases. It includes the following aspects:
- Prevention of complications that may occur as a result of treatment. It can be pneumonia, lymphostasis, thromboembolic or infectious complications.
- Restoration of general health. The elimination of the consequences after surgeries and chemotherapy is carried out. The functions of internal organs are restored with the help of various medical and rehabilitation measures.
- Restoration of occupation. A person must not just stay alive. He must have physical and intellectual capabilities, which are sufficient for employment.
- Psychological support. First of all, it is required for patients, whose occupational performance was harmed because of the disease. Patients with deterioration of appearance also will benefit from psychological help.
- Restoration of appearance. If necessary, you can use surgical and other methods in Germany to restore appearance defects caused by cancer. For example, to carry out the reconstruction of the breast.
- Social and domestic rehabilitation. A person with reduced workability is trained to act in the society and perform everyday tasks in new conditions.
In German clinics, rehabilitation is carried out in a comprehensive manner. The patients are provided with qualitative care here. Doctors' monitoring and conservative treatment allow to avoid complications, which usually happen after treatment of oncological diseases. Psychotherapy, physiotherapy and physical therapy are actively used in Germany.
Specialists in different medical spheres take part in the rehabilitation process. These are massage therapists, speech therapists, specialists in physiotherapy exercises, physiotherapists. Social and occupational therapy is carried out, as well. If necessary, people are taught how to eat properly, take care of a colostomy or urostomy, etc.
In Germany, rehabilitation is carried out with the maximum level of comfort for the patient. A person feels the results quite quickly and it improves his motivation and promotes further recovery.
Best clinics for rehabilitation in Germany:
Author:
The article was edited by medical expert, board certified Dr. Nadezhda Ivanisova. For the treatment of the conditions referred to in the article you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
The cost of services includes
Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.
The program includes the following:
- Issuing of an invitation for getting a visa for treatment as quick as possible
- Fixing an appointment at a time convenient for you
- Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
- Arranging transfer from the airport to the hospital and back to the airport
- Provision of interpreting services and services of a personal medical coordinator
- If necessary, assistance in the organization of further surgical treatment
- Provision of a medical insurance against treatment complications covering up to 200,000 euro
- Preparation and translation of medical records and recommendations from the hospital
- Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc
