Cancer of the Testicle (cont.)
Testicular Cancer Prognosis
After treatment for testicular cancer, most men enjoy a full, cancer-free life. The patient's ability to have an erection and orgasm will likely not change after testicular cancer treatment. However, men who wish to father children in the future are strongly urged to take advantage of sperm banking in case their fertility is impaired by the cancer or treatment. Orchiectomy alone does not affect fertility, but chemotherapy, radiation therapy, and RPLND all may affect fertility in different ways. At 10 years, testicular cancer survivors are one-third less likely to father children as their peers.
Survival rates depend on the stage and type of testicular cancer.
- Stage I seminoma has a 99% cure rate.
- Stage I nonseminoma has about a 97%-99% cure rate.
- Stage IIA seminoma has a 95% cure rate.
- Stage IIB seminoma has an 80% cure rate.
- Stage IIA nonseminoma has a 98% cure rate.
- Stage IIB nonseminoma has a 95% cure rate.
- Stage III seminoma has about an 80% cure rate.
- Stage III nonseminoma has about an 80% cure rate.
Support Groups and Counseling for Testicular Cancer
Living with cancer presents many new challenges for the patient and for their family and friends.
- Patients will probably have many worries about how the cancer will affect them and their ability to "live a normal life": to carry on their relationships, to continue in school or hold a job, and to participate in activities they enjoy.
- Many people feel anxious and depressed. Some people feel angry and resentful, while others feel helpless and defeated.
For most people with cancer, talking about their feelings and concerns helps.
- Friends and family members can be very supportive. They may be hesitant to offer support until they see how the person are coping. Patients should not wait for them to start any discussion about testicular cancer. If patients want to talk about their concerns, most individuals are urged to start the discussions with their family and friends.
- Some people don't want to "burden" their loved ones, or they prefer talking about their concerns with a more neutral professional. A social worker, counselor, or member of the clergy can be helpful to patients if they want to discuss their feelings and concerns about having cancer. Often, the urologist or oncologist is able to recommend or may recommend the patient to a cancer support group.
- Many people with cancer are helped profoundly by talking to other people who have cancer. Sharing concerns with others who have been through the same thing can be remarkably reassuring. Support groups of people with cancer may be available through the medical center where the patient is receiving their treatment. The American Cancer Society also has information about support groups all over the United States.
For More Information on Testicular Cancer
National Cancer Institute, Cancer Information Service (CIS)
Toll-free: 800-4-CANCER (800-422-6237)
TTY (for deaf and hard-of-hearing callers): 800-332-8615
For information about clinical trials in cancer treatment, visit the National Institute of Health's Clinical Trials database.
American Cancer Society
National Cancer Institute
Testicular Cancer Resource Center
Medically reviewed by Jay B. Zatzkin, MD; American Board of Internal Medicine with subspecialty in Medical Oncology
Krege, S., J. Beyer, R. Souchon, et al. "European Consensus Conference on Diagnosis and Treatment of Germ Cell Cancer: A Report of the Second Meeting of the European Germ Cell Cancer Consensus Group (EGCCCG): Part I." Euro Uro 53.3 Mar. 2008: 478-496.
Krege, S., J. Beyer, R. Souchon, et al. "European Consensus Conference on Diagnosis and Treatment of Germ Cell Cancer: A Report of the Second Meeting of the European Germ Cell Cancer Consensus Group (EGCCCG): Part II." Euro Uro 53.3 Mar. 2008: 497-513.
Travis, L., C. Beard, J. Allan, et al. "Testicular Cancer Survivorship: Research Strategies and Recommendations." JNCI 102.15 Aug. 2010: 1114-1130.
Last Reviewed 11/20/2017
Steven C Campbell, MD, PhD
Scott H Plantz, MD, FAAEM
Francisco Talavera, PharmD, PhD
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