Learning about Testicular Cancer
- Joshua Robson, a 30-year-old fitness fanatic, was shocked when he received his testicular cancer diagnosis at age 28. But he did notice a small lump on his testicle eight months prior. Now, he wants to educate others about the disease and encourage people to take care of their health.
- Symptoms of testicular cancer can be subtle. Some people may even confuse the early symptoms such as a small mass in their testicle as an injury. But when these signs are dismissed, the cancer can grow and become worse.
- Self examinations are incredibly important when it comes to screening for testicular cancer. Men aged 15 to 55 should perform a monthly self-examination to find any changes in the testes that might indicate cancer at an early stage.
- Testicular cancer survivors may come across issues with fertility after overcoming the disease, but this is not always the case. Either way, you should discuss possible side effects and fertility preservation options with your doctor before starting treatment.
The now 30-year-old fitness fanatic who works as a civil construction worker was diagnosed with testicular cancer at 28 after first noticing a small lump on his right testicle two years ago. He waited eight months before making an appointment to see his doctor, but even when the lump became painful he still “wasn’t worried.” In fact, the reason he made the appointment was for his bowel issues and stomach aches.
Read MoreRobson was sent to a specialist for an ultrasound as a result of his appointment, and doctors assumed his lump was cancerous and needed to be removed immediately at that stage.
‘”That’s when I started to question how bad this could be,” he said.
A couple weeks after surgery, Robson found out that his lump was, in fact, cancer and that it had spread. He also had a tennis ball-sized lump growing in his stomach and very small lumps in his lymph nodes.
From there, Robson underwent four cycles of chemotherapy over 12 weeks with few side effects. Thankfully, he didn’t need any radiotherapy, and he’s now in remission with checkups every three months and no signs of cancer besides the lump in his stomach which is now the size of a marble.
“I did have some bad days when I questioned if the treatment would kill the cancer, but I also tried to stay as positive as I could,” Robson said. “On days when I had chemo, I would be in the hospital for up to 10 hours a day, five days a week and wasn’t working during that time.
“I’m a very active person and felt like I was a prisoner in my own body. I started to appreciate normality and would watch people working from the hospital window.”
He continued to train throughout chemotherapy and even completed a triathlon after treatment was done.
“My brother said if I trained all through chemo he would sign up for the Iron Man triathlon, which he did when I finished out in June 13, 2022,” Robson explained. “We really motivated each other and wanted to turn a major adversity into something great.”
Now, on the other side of treatment, Robson has gained an entirely new perspective on life.
“Life can change in an instant, so appreciate every day and take care of your health,” he said.
Understanding Testicular Cancer
A testicular cancer diagnosis is rare, but it is the most common form of cancer diagnosed in young men. Depending on the stage, the disease is considered extremely treatable. Treatment options can include chemotherapy and radiation, but often the first line of treatment is surgery to remove the testicle which contains the cancerous cells.
Dealing With the Shame That May Come With Testicular Cancer
Symptoms of testicular cancer can be subtle. Some people may even confuse the early symptoms such as a small mass in their testicle as an injury. But when these signs are dismissed, the cancer can grow and become worse.
RELATED: 10 Things I Wish I Knew Before I Was Diagnosed With Testicular Cancer
"It's not uncommon to see men come in with masses on their scrotum and have inflammation of the scrotal wall; they develop pain as a result. A lump is the most common symptom of testicular cancer," Dr. Edwin Posadas, the medical director of the Urologic Oncology Program at Cedars-Sinai Cancer, previously told SurvivorNet.
Dr. Posadas says some men may even notice blood in their ejaculate as a result of testicular cancer. "This symptom is less common, but always bad," he said.
Other symptoms can include:
- Breast growth or soreness
- Early puberty in boys
- Low back pain (a potential symptom of advanced testicular cancer)
- Shortness of breath, chest pain, or a cough (a potential symptom of advanced testicular cancer)
- Belly pain (a potential symptom of advanced testicular cancer)
- Headaches or confusion (a potential symptom of advanced testicular cancer)
Dr. Posadas urges young men to seek medical care if they are having symptoms. "Most men under the age of 40 tend not to think about seeing a doctor they need to know to advocate for themselves," he said.
Screening for Testicular Cancer
Testicular self-examination is one way to screen for this disease, Dr. Posadas says.
"It takes less than a minute," Dr. Posadas previously told SurvivorNet. "Rub testicles through your fingers looking for any sore areas. Rub the top of the testicle, particularly the delicate epididymis. (The epididymis is a tube at the back of the testicles which stores and carries sperm.)
"Don't squeeze real hard on there… [You should] look for a smoother feel; if you feel a hard nodule on there, you may require blood work from a urologist. [Testicular cancer] is highly curable, even when it's advanced."
If You're Worried Go to the Doctor
In a previous interview with SurvivorNet, Dr. Bradley McGregor, clinical director of the Lank Center for Genitourinary Oncology at the Dana-Farber Cancer Institute, also emphasized the importance of self-examinations.
"It is recommended that men aged 15 to 55 perform a monthly self-examination to find any changes to help find the cancer at an early stage," Dr. McGregor said. And if someone spots any of the early symptoms, "he should visit his doctor immediately." It's important to be aware of your body and get in touch with a doctor if you notice anything unusual.
"Testicular cancer commonly occurs from ages 20-45, but it can occur at any age," Dr. McGregor continued. "The highest risk factor for testicular cancer is a history of cryptorchidism, an undescended testicle, where the testicle does not move down into the scrotum before birth. Men with a family history of testicular cancer are at increased risk as well. No lifestyle changes have been shown to definitively reduce risk of testicular cancer."
Fertility after Testicular Cancer
Testicular cancer survivors may come across issues with fertility after overcoming the disease, but this is not always the case. Treatment for this cancer can "affect hormone levels and can also affect your ability to father children after treatment," according to the American Cancer Society, so you should discuss the possible effects with your doctor before beginning treatment to understand all the options you have at hand.
One route people with the disease can take it to store sperm in a sperm bank before treatment starts. But testicular cancer can result in low sperm counts, so getting a good sample may be tricky. Also, if only one testicle is left after treatment, fertility returns following treatment typically about two years following chemotherapy.
Becoming a Father After Cancer Todd Rosenbluth's Story
But it's important to remember that testicular cancer does not mean fatherhood is out of the question by any means and some people who've overcome testicular cancer might not see any issues at all.
Todd Rosenbluth, for example, became a father after having testicular cancer. But when he and his wife wanted to start a family following his cancer battle, things were difficult despite his cancer not being an issue.
Rosenbluth was diagnosed with testicular cancer in his late 20s after his wife urged him to go to his annual appointment with his doctor. He then had surgery to remove one testicle and overcame the disease, but fertility issues came later despite his doctor telling him the couple's struggles to have a child were unrelated to his cancer.
"Unrelated to the testicular cancer, my wife and I did have fertility issues," Rosenbluth previously told SurvivorNet. "We had been trying for four years to have a child. They tell you it's not related to the fertility issues at all. But in your head, when you're having all these troubles, and you did lose a testicle, you feel the blame."
Eventually, though, everything did work out. He and his wife had a beautiful son, Milo, in March 2018. That's when Rosenbluth finally felt free from his past cancer battle.
"The safest I felt with my testicular cancer was when my son was born," he said.
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