EP299: Painless testicular lumps | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, tells a reader what is in store for him as he is experiencing painless swelling to his left testicle.  Read more at https://tinyurl.com/2rpy9k98  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00Last week, we talked about risk factors of getting tested cancer.

00:04The undescended testicle is one of the reasons why.

00:07The second one is frequent problems with microlithiasis.

00:13And the third one actually is infertilities are the people who are more at risk of getting tested cancer.

00:19In general, it is not really related to genetics.

00:23However, men who has got Down syndrome and Klinefelter are more at risk.

00:30So how do they present usually?

00:38So men with undescended testicle are often asked to do self-examination.

00:44If they notice that the testicle is nodular in appearance, just like your knuckles,

00:50then there's something is wrong with it.

00:52The other telltale sign is that it is completely painless.

00:58When a painless lump in the testicle present in a young man,

01:02interestingly, between age of 15 to 38,

01:05these young men are more at risk of getting testicular cancer.

01:10So what are the ways to make the diagnosis?

01:13In fact, most of the time, a doctor doing examination will have an inclination

01:19to know that this is testicular cancer.

01:21Because most of the time, it's irregular and also it's completely painless.

01:26The additional thing that we can do will be something that is called an ultrasound scan of the scrotum.

01:32The appearance of the testicular cancer itself is heterogeneous and then it also is quite classic of two different types of cancer.

01:41One is called seminoma.

01:44The other one is called non-seminomatous germ cell tumor or sometimes referred as teratoma.

01:50And all these will be telltale sign of something is wrong with the testicle.

01:57In addition to clinical examination and also ultrasound scan,

02:02there's another thing that we can do is the blood test.

02:06The blood test itself is called a tumor marker.

02:09And we will look at tumor markers such as alpha-fetoprotein and beta-HCG.

02:16Sometimes you are wondering, beta-HCG isn't that related to pregnancy tests?

02:22Yes, it is.

02:23It's exactly what the pregnancy test shows that when a woman is pregnant, they produce beta-HCG.

02:30When a man clearly is not pregnant but has got beta-HCG showing a positive pregnancy test,

02:38this person has got testicular cancer.

02:41So all these three tests will come to a conclusion whether there is a testicular cancer

02:47and more elaborate tests such as CT scan will show the extent of the cancer,

02:53whether it's stage 1, 2 or 3 or 4.

02:56For the following week, we're going to talk about surgery.

02:59The surgery to remove the testicle is called orchidectomy.

03:04When they remove the testicle for the purpose of cancer, it's called radical orchidectomy.

03:10If you're interested or you're quite fearful of what we actually do

03:13in order to cure a patient of testicle cancer,

03:16you need to stay tuned for next week's Putting Dr. G on the Spot.

03:29All right.

03:31Thank you so much.

EP299: Painless testicular lumps | PUTTING DR G ON THE SPOT

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