An introduction to the diagnostic methods of chronic testicular cancer. The testicles are the lifeblood of men, so once a problem occurs, men will be very anxious. Some people even feel that they can no longer live a normal life. But how to diagnose it specifically? Let us now learn about the introduction to the diagnostic methods of chronic testicular cancer. Laboratory diagnosis: Mainly for serum β-HCG, AFP and LDH detection, these serum tumor markers are of great significance for treatment, follow-up and prognosis. β-HCG is synthesized by syncytiotrophoblast cells, with a serum half-life of 24-36 hours. It is elevated in the blood of patients with choriocarcinoma, embryonal carcinoma and seminoma. Elevated AFP is seen in pure embryonal carcinoma, teratoma, yolk sac tumor and mixed tumors, but pure choriocarcinoma and pure seminoma do not synthesize AFP. Imaging diagnosis Scrotal B-ultrasound can help confirm the mass in the testicle and is the preferred method in clinical practice. Abdominal and pelvic CT is used to understand the situation of lymph node metastasis, and chest plain film and CT are used to evaluate the presence of lung metastasis. Therefore, abdominal/pelvic CT is an important basis for staging and grading of all patients. In the follow-up after treatment, positron emission tomography (PET) has high sensitivity and specificity for the evaluation of residual tumors after treatment. Pathological diagnosis: Although a puncture biopsy of a testicular tumor can confirm the diagnosis, there is a risk of tumor implantation and metastasis, so transscrotal testicular puncture biopsy should be prohibited. Differential diagnosis The differential diagnosis of testicular cancer includes epidermoid or dermoid cysts in the testicle, testicular torsion, epididymitis, epididymo-orchitis, and hydrocele. After reading the above introduction, everyone should understand the diagnostic measures for testicular cancer. I think everyone should have their own understanding of the diagnosis of testicular cancer. In the future, everyone must maintain a good attitude to face this disease. If you are not sick, that is of course the best, but once you find that you are sick, you must go for treatment without stopping. |
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