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a question!!

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  • a question!!

    just want to know if there is tumor in a testis, it is possible for it to produce sperm or testerone somehow with a tumor inside? or just it stops working? or it depends on the size of the tumor? thanks
    Last edited by TC Destroyer; 06-28-11, 09:35 AM. Reason: Spam
    27/07/07 diagnosed
    30/07/07 Right I/O
    path: 5.00 cm mass with EC %40 / Imm. ter. %30 / semin %20 / YS %10
    no vaslucar inv./ no lymphatic inv/no metastis
    Stage I-A
    24/10/07 CT showed 2 enlarged nodes
    Stage II-B
    27/07/07 B-hcg:202 /AFP:260
    13/08/07 B-hcg:0.306 /AFP:32/ LHD:293
    20/08/07 AFP:13.25
    05/09/07 AFP:3.7
    05/10/07 AFP:2.7 B-hcg:6.01
    30/10/07 AFP:6.0 B-hcg:17

  • #2
    To my knowledge, a testicle with a tumor in it will still produce sperm and testosterone, which is why pre-I/O testosterone levels should be checked to create a baseline in the case that hormone replacement therapy is needed. I assume that if the tumor becomes big enough, though, that normal testicular function may be disrupted.
    4/26/07 - mass confirmed w/ no elevated markers
    4/27/07 - left I/O
    5/2/07 - Dx: 100% seminoma stage 1A
    Surveillance: CT/blood (6 month cycle)
    4/27/13 - 6 years cancer free!


    • #3
      I think this is hard to answer because everyone is different. I will tell you what I have been told and hope that it helps alittle.

      When you have a tumor growing in the testicle, it hinders healthy sperm. I am not sure anyone could say with certainty that you could not get a woman pregnant while having a tumor inside your testicle. But I would think having a growing tumor would create low sperm count issues and mobility issues as well. But there must be some sperm in order for so many men to harvest sperm before starting chemo.

      Our doctor told us that for some men, after the OT, the remaining testicle becomes much healthier and can produce as much sperm as two working testicles.

      Not sure if this answers your question, but maybe it will help.
      Co-survivor with husband Boyce, Diagnosed 7-11-06, orchiectomy right testicle on 7-12-06- Stage 3A: Mixed germ cell tumor with inguinal seminomatous and kartotypic carcinoma. One tumor over 10 cm, second tumor 4 cm, Chemo 4xBEP: Bi-lateral RPLND Dec 2006, nerve sparing but left sterile.
      Current DVT
      Current testosterone replacement therapy, Testim.

      "You must abandon the life you planned, to live the life that was meant for you" ~wisdom I have learned from my family on this forum


      • #4
        I looked at my pathology slides under the scope, and there were some sections that contained healthy-looking seminiferous tubules with cells undergoing spermatogenesis; so yes, a testicle with a tumor can still work. The issue is when the tumor starts getting bigger and hijacks the blood supply to the healthy portion. Necrosis would likely ensue due to lack of oxygen and nutrients.
        "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
        11.22.06 -Dx the day before Thanksgiving
        12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! I consider myself cured.