A 36-year-old patient was diagnosed with testicular cancer when she had pain in the groin area

The male patient is healthy, married and has 3 children. Talking to the doctor of the Department of Andrology and Sex Medicine, Hanoi Medical University Hospital, he said that since childhood, he knew he had hidden his left testicle.

However, because of hesitation and subjectivity, he never went to a gynecologist.

Two weeks ago, he suddenly felt pain, a hard mass in the left groin, the mass gradually increased in size, so he rushed to check.

The doctor discovered that the patient was missing a left testicle, palpating a solid mass, pressing pain in the left groin area. Tests and magnetic resonance imaging showed that the swelling in the left groin area was the cancerous testicle.

The tumor has metastasized to multiple pelvic and abdominal sites. Indications for surgery to remove testicular tumor are given. The patient also underwent lymph node dissection and could be combined with chemotherapy afterwards.

According to doctors, undescended testicles is a congenital disease, because the testicles do not move down to the normal position in the scrotum but are abnormally located in many other locations such as the inguinal canal, thigh, anterior pubic bone, in the abdomen. in front of the bladder….

This is a common pathology in boys with the rate of 3-5% in full-term babies, 30-45% in premature babies.

Some causes can lead to undescended testicles such as: Hormonal disorders, genetic abnormalities, abnormalities in anatomical structure, premature birth, underweight …

Undescended testicles, if not surgically lowered into the scrotum before 18 months of age, can have serious consequences such as: testicular atrophy, testicular torsion, testicular trauma.

This pathology also affects psychological inferiority, low self-esteem and is especially dangerous when undescended testicles have a 10 times higher risk of developing cancer than normal people (testicles are located in the scrotum).

According to doctors of Viet Duc Hospital, if the patient has only one undescended testicle, it is still possible to have children. However, these patients are still at risk due to the increased risk of undescended testicular cancer and many other risks.

At the Center for Andrology of Viet Duc Hospital, doctors have seen many cases of patients with undescended testicles on one side, the other testicle in the scrotum, but unfortunately twisted or traumatized, so they had to cut the testicle. Thus, the risk of infertility for this patient is still very large.

For men, testicular cancer is considered a rare disease, accounting for only about 1% of all cancers in men.

With testicular cancer, patients often have symptoms such as palpating a hard, solid mass in the scrotum, which is painless. Other symptoms may include: testicular pain, breast enlargement, back pain, hip pain when the cancer has spread to other organs.

Undescended testicle is the main cause of testicular cancer, accounting for 80-85%, the rest is due to a history of mumps, hydrocele, inguinal hernia…

If detected and treated in time, testicular cancer has a very high cure rate, the 5-year survival rate can be up to 95%.

Doctors warn that many people still think that testicular malignancies are common in middle age when in fact, the most common age is men aged 15-35.

According to a statistic of the Department of Andrology, Binh Dan Hospital, in just 2 years 2017-2018, there were nearly 140 cases of testicular cancer, most of them very young.