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What Do The Following Ultrasound And CT Scan Report Indicate?
Question: Respected Doctor,
My nephew is 19 year old. Before 5 month he had chronic lower abdomen pain .
And since last 5 month he suffered 3 times such type of pain. Then we consult to urologist. Ultrasound and CT Scan report shown “ SOL (2.0 x 2.1 cm.) in left testis - ??? Germ cell tumour .” The urologist of Apollo Hospital XXXXXXX advised to remove the whole left testis. We don’t want to remove the testis . we want to go through either lesser operation of medicine form treatment. please advise which is the best remedy. I also want to know is there any complication in married life if the testis will remove. Doctors perception and ultra sound report is enclosed.
My nephew is 19 year old. Before 5 month he had chronic lower abdomen pain .
And since last 5 month he suffered 3 times such type of pain. Then we consult to urologist. Ultrasound and CT Scan report shown “ SOL (2.0 x 2.1 cm.) in left testis - ??? Germ cell tumour .” The urologist of Apollo Hospital XXXXXXX advised to remove the whole left testis. We don’t want to remove the testis . we want to go through either lesser operation of medicine form treatment. please advise which is the best remedy. I also want to know is there any complication in married life if the testis will remove. Doctors perception and ultra sound report is enclosed.
Brief Answer:
Radical orchidectomy
Detailed Answer:
Dear Sir,
Your nephew seems to be having testicular tumor with raised biochemical markers. You don't have a choice. He certainly needs to be subjected to surgery and then follow up with markers as well as CT scan. He may have to receive chemotherapy or radiotherapy also depending on the report of removed testis and the above mentioned investigations after 3 months.
Regarding fertility most of the people are fertile even after one testis is removed. However, if you are highly concerned about the fertility then you can preserve his semen now and it can be used at later date if any issues arise.
Currently your primary aim should be saving the life rather than fertility and hence surgery is must. Testicular tumor if treated appropriately and in time has almost 100% cure.
Take care
Sincerely
Rajiv Goel
Radical orchidectomy
Detailed Answer:
Dear Sir,
Your nephew seems to be having testicular tumor with raised biochemical markers. You don't have a choice. He certainly needs to be subjected to surgery and then follow up with markers as well as CT scan. He may have to receive chemotherapy or radiotherapy also depending on the report of removed testis and the above mentioned investigations after 3 months.
Regarding fertility most of the people are fertile even after one testis is removed. However, if you are highly concerned about the fertility then you can preserve his semen now and it can be used at later date if any issues arise.
Currently your primary aim should be saving the life rather than fertility and hence surgery is must. Testicular tumor if treated appropriately and in time has almost 100% cure.
Take care
Sincerely
Rajiv Goel
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Above answer was peer-reviewed by :
Dr. Prasad
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