Is removal the norm for suspected cancer?

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Hello, I have a testicular lump which been diagnosed as suspected testicular cancer

The urologist has booked me in for radical orchiectomy (removal of testicle) at the end of the month saying its the only option.

He is also saying that after removal it can be found to not be cancer.

I am trying to understand why there are no blood tests showing cancer markers or other testing options available, before such a radical intervention.

Can anyone shed any light on this for me?

Thanks for help!

  • Hi

    Sorry To hear you are likely to join our club!

    i believe it is fairly standard.   My Consultant was looking in his diary to book the surgery after the examination,  he sent me for blood tests next but I don’t believe it was going to affect his decision for the op.   Ironically the three blood markers for TC were not elevated at that initial test anyway

    As I understand it there is not an option for biopsy for TC so they go for removal.

    I am sure some of the others will reply but feel free to post any questions.  Also have a search through the site in the TC area as there are lots of accounts made by others when on their journey.  I found it very useful when I was at the initial stage as you now are.

    Take care..

  • Also…. I had an ultrasound scan before the examination with the Consultant.  He talked through it on the screen.   My tumour was quite large and I had been aware of it as it got larger in the time up to the GP visit for the referral. I am in the UK.

  • Thanks for insight topcat.. That is helpful. I am beginning to understand what questions I should have asked during the referral. It all happened pretty quickly.

  • I believe the reason they don't do a biopsy is to avoid spreading cancer cells beyond the testicle. So they remove the testicle instead, allowing them to do a full pathology analysis on the tumor. This then informs the treatment plan.

    Men do perfectly fine with one testicle, and it is a straight forward, quick operation with few side effects. I had mine done less than three weeks ago. I was largely back to normal after day 12.

    I expect they will send you for blood tests before surgery, and a CT scan after. 

    I hope this helps!