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What examinations are necessary in case of suspected testicular cancer?

Dear doctor,

My name is Otto Bauer and I am reaching out to you because I am very concerned. Some time ago, I discovered a lump in my scrotum and I am worried that it could be testicular cancer. I have already researched on the internet and found out that this is a serious condition that should be detected early.

My father had testicular cancer a few years ago, which is why I am particularly worried. I know that early detection is crucial in this disease and therefore I would like to get an examination as soon as possible.

My question to you is: What tests are necessary when there is suspicion of testicular cancer? Should I make an appointment with a urologist or are there specific tests that I should have done first?

I am very worried about my health and want to make sure that I take all necessary steps to detect and treat a possible condition early. I would be very grateful if you could help me and provide me with information about the necessary tests.

Thank you in advance for your help.

Sincerely,
Otto Bauer

Ben Busse

Dear Mr. Bauer,

Thank you for your message and your trust in my expertise as a urologist. It is understandable that you are concerned, especially due to the family history of testicular cancer in your father. It is important to act quickly when there is suspicion of testicular cancer in order to receive the best possible treatment.

Various tests are necessary when there is suspicion of testicular cancer to make a diagnosis. First, it is advisable to schedule an appointment with a urologist. The urologist will perform a physical examination to assess the lump in the scrotum. This includes checking the size, consistency, and mobility of the lump.

Additionally, an ultrasound examination of the testicle is usually performed. This imaging test allows for a more detailed examination of the structure of the testicle and the lump. Based on the ultrasound, the doctor can determine whether the tumor is benign or malignant.

In some cases, a blood test may also be done to check for certain tumor markers in the blood. Tumor markers that are examined for testicular cancer include AFP (Alpha-Fetoprotein), HCG (human chorionic gonadotropin), and LDH (lactate dehydrogenase). These markers can help confirm the diagnosis and monitor the progression of the disease.

If the results of the tests indicate testicular cancer, a tissue sample (biopsy) is usually taken to further characterize the tumor. Based on the results of all the tests, a treatment plan will then be developed in collaboration with you.

It is important to seek out an experienced urologist when there is suspicion of testicular cancer, who has the necessary expertise and experience in diagnosing and treating this condition. Therefore, do not hesitate to schedule an appointment with a urologist to have the tests done and gain clarity about your health situation.

I hope this information is helpful to you and I am available if you have any further questions. Please do not hesitate to contact me.

Sincerely,
Ben Busse

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Ben Busse