Does testicular cancer liver metastasis have a high cure rate?

Testicular tumor is one of the common tumors in urology. It is almost always malignant, and there are three peaks in the age of onset: yolk sac tumor (infantile embryonal tumor) is the most common in infancy; various types of testicular tumors can be seen between the ages of 20 and 40, but seminomas are still the most common, and seminomas are the main ones after the age of 70. Let's find out, is the cure rate of testicular cancer liver metastasis high?

Does testicular cancer liver metastasis have a high cure rate? Testicular tumors are divided into germ cell tumors, non-germ cell tumors, and testicular secondary tumors, among which germ cell tumors are the most common, accounting for 90 to 95 percent. Germ cell tumors are divided into seminoma (35 percent), non-seminoma (embryonic carcinoma; teratoma; choriocarcinoma, etc.) and mixed germ cell tumors. Non-germ cell tumors are divided into Leydig cell tumors, Supporting cell tumors, gonadal stromal tumors, and mixed tumors. The most common symptom is the gradual, painless enlargement of the testicles and a feeling of heaviness. The enlarged testicles of seminoma often maintain the contour of the testicle and have a consistent texture, while teratomas are nodular and inconsistent in hardness and softness. About 10 percent of patients feel pain due to intratesticular bleeding or infarction, and 10 percent of patients may have metastatic symptoms, such as large retroperitoneal lymph node metastases and back pain due to compression of nerve roots.

Does testicular cancer liver metastasis have a high cure rate? Pulmonary metastasis may cause cough and dyspnea, duodenal metastasis may cause anorexia, nausea and vomiting, and bone metastasis may cause bone pain, etc. Testicular Leydig cell tumor should be considered when children have testicular lumps and symptoms of precocious puberty, or when adults have gynecomastia and loss of libido. Physical examination can feel that the affected testicle is enlarged, tough, and heavy, and the light transmission test is negative. Testicular tumor markers, human chorionic gonadotropin (HCG) and alpha-fetoprotein (AFP) concentrations may be increased in the serum of patients with seminoma, choriocarcinoma, embryonal carcinoma or mixed germ cell tumor, respectively. B-ultrasound shows that the testicles are uniformly enlarged, the echo is enhanced but uneven, and the blood flow signal is strong.

CT examination mainly observes the metastasis of retroperitoneal lymph nodes. The treatment of testicular tumors is divided into surgical treatment, radiotherapy and chemotherapy. The basic surgical method is orchiectomy and retroperitoneal lymph node dissection. Radiotherapy is extremely sensitive to seminoma, embryonal carcinoma and malignant teratoma are less sensitive to radiation, and choriocarcinoma is extremely insensitive to radiation. Testicular tumors respond well to chemotherapy. It is generally believed that chemotherapy has a better effect on seminoma, embryonal carcinoma and choriocarcinoma, especially when several drugs are used in combination, the effect is better, and the effect on teratoma is poor. Chemotherapy also has a certain effect on advanced or recurrent cases.

Cancer patients have a heavy mental burden, and are prone to pessimism and world-weariness. First of all, patients should be strong in facing the disease, establish a firm belief in defeating cancer, and avoid negative emotions. On the other hand, friends and relatives of patients should give more encouragement. Family members should observe and communicate with patients at any time, pay attention to their psychological activities, care and comfort patients at all times, listen to patients' stories patiently, make patients feel the warmth of their loved ones, avoid emotional fluctuations, eliminate worries, keep a good mood, arrange daily life reasonably, and maintain patients' hope of survival.