How is the testicular mesothelioma diagnosis made?
Unlike other forms of mesothelioma where diagnostic testing can help pinpoint the cancer, testicular mesothelioma is so rare and lacking in specific symptoms that a diagnosis is often only made during or after surgery.
Researchers have also explored the effectiveness of using a preoperative scrotal ultrasound to help with a testicular mesothelioma diagnosis.
What are the treatment options for testicular mesothelioma?
Testicular mesothelioma tumors can be benign or malignant; however, most cases are not diagnosed early enough for treatment to be considered curative (aimed at killing the cancer cells completely and preventing further growth). Still, there are testicular mesothelioma treatment options, particularly surgery, that may extend the patient’s life or provide pain relief.
Testicular mesothelioma treatment options include:
Radical inguinal orchiectomy: This surgery to remove the testicle is the most common treatment for testicular cancers worldwide, according to the James Buchanan Brady Urological Institute at Johns Hopkins.
Additional surgeries: Because testicular mesothelioma diagnoses are so rare, doctors may consider other surgeries specific to each case. One common procedure is a lymphadenectomy to remove lymph nodes around the site to check for the spread of cancer.
Chemotherapy: This is a common type of treatment for many cancers. It will not eradicate testicular mesothelioma, but it may slow the spread of the disease and provide pain relief for patients.
What is the prognosis for patients with testicular mesothelioma?
The median survival time for mesothelioma in general can range from a year to 21 months, depending on how early the cancer is diagnosed, according to the American Cancer Society. However, a study in the World Journal of Surgical Oncology suggests the testicular mesothelioma prognosis may be more optimistic, with a median survival rate of 24 months for those with malignant testicular mesothelioma. The prognosis is better for younger patients whose disease is caught early, with one study in The Canadian Journal of Urology reporting on a patient who was still alive seven years after treatment for testicular mesothelioma.
If you are facing a testicular mesothelioma diagnosis, our resources are at your disposal. We encourage you to explore our community of medical experts, patients, caregivers and advocates here to support you and your loved ones through this difficult journey.