Can testicular cancer be cured?

Testicular cancer is a very serious disease for men, but patients with this disease must receive proper treatment, so it is very important to understand the treatment methods for this disease. Most testicular cancers can be cured, but there will be some side effects during treatment, which depends on the type of treatment and varies from person to person. If testicular cancer is detected early, the treatment will be smooth, so there will be no major side effects during treatment, and the cure rate will be high. So, let's take a look at what methods are there to treat testicular cancer?

1. Orchiectomy is suitable for any type of testicular tumor, and it is emphasized that radical orchiectomy should be performed through the inguinal route. The method is: the operation uses an oblique incision in the groin to reach the top of the scrotum, separate the spermatic cord, ligate and cut the spermatic cord and blood vessels at the internal inguinal ring, and then remove the testicle and its tumor. Simple orchiectomy often cannot achieve a thorough surgical removal effect, and retroperitoneal lymph node clearance is required to achieve the purpose of radical cure. Patients who accept this treatment method may worry that if a testicle is removed, it will affect their sexual ability and may cause infertility.

However, men with only one healthy testicle can still have normal erections and produce sperm. Therefore, surgical removal of one testicle does not make the patient impotent or infertile. During the operation, the doctor can place an artificial testicle in the scrotum. This artificial testicle weighs and feels like a normal testicle, and people who don't know it can't tell the difference between an artificial testicle and a natural testicle by appearance. Some lymph nodes deep in the abdomen are also removed. Although this surgery does not affect the patient's normal erection and orgasm, it can cause infertility because it may prevent ejaculation. Can testicular cancer be completely cured?

2. Retroperitoneal lymph node dissection. Since non-seminomatous germ cell tumors such as embryonal tumors and teratomas are not sensitive to radiation, retroperitoneal lymph node dissection should be performed after orchiectomy. Cases in stage I and II can be cured. There are many surgical methods, and different methods have their own advantages and disadvantages. It is advocated to use a median incision from the xiphoid process to the pubic symphysis for retroperitoneal lymph node dissection. The range of resection includes the upper limit to 2 cm above the bilateral renal pedicles and the renal pedicles, the abdominal aorta and inferior vena cava around the iliac blood vessels and the upper 1/3 of the ipsilateral iliac blood vessels, both sides to the bilateral ureters and spermatic cords, and all lymph nodes, fat and pedicle tissue in the fascia around the ipsilateral kidney. Regarding the timing and operation of retroperitoneal lymph node dissection, it is generally believed that:

① Operation time: performed at the same time as orchiectomy or two weeks later.

② Lymph nodes should be removed in anatomical order, and an en bloc removal should be performed.

③ When dissecting lymph nodes next to the large retroperitoneal blood vessels, be cautious and gentle to avoid damaging the large blood vessels, and do not over-twist the renal pedicle vessels.