Testicular Cancer Treatment in Andheri, Mumbai
A diagnosis of testicular cancer can be frightening—especially when it arrives during some of the most active years of a man’s life. But here is something important to know: testicular cancer is one of the most treatable and curable cancers when detected early, with survival rates exceeding 95% in localized cases.
Dr. Ashish Gupta offers expert testicular cancer treatment in Andheri, Mumbai, combining advanced surgical expertise with a deeply personalized approach to care. Whether you have noticed a painless lump, been referred after a scan, or are already undergoing treatment elsewhere and seeking a second opinion—Dr. Gupta’s clinic in Andheri East is here to guide you every step of the way.
Meet Dr. Ashish Gupta – Expert Urologist in Andheri, Mumbai
Dr. Ashish Gupta
What is Testicular Cancer?
Testicular cancer is an abnormal, uncontrolled growth of cells in one or both testicles—the male reproductive glands located inside the scrotum. The testicles produce sperm and the hormone testosterone, making them central to both fertility and male health.
While testicular cancer is relatively rare, it holds a unique and important place in oncology: it is the most commonly diagnosed solid tumour in young men between the ages of 15 and 35. Despite this, it is also one of the most curable cancers in existence, thanks to its high sensitivity to surgery, chemotherapy, and radiation therapy.
In most cases, testicular cancer affects only one testicle. Less than 5% of cases involve both. Cancer in the testis can remain localized for a period of time before potentially spreading to nearby lymph nodes, the lungs, liver, or other organs—which is why early detection is so critical.
What are the Signs and Symptoms of Testicular Cancer ?
A painless lump, nodule, or hardening on or inside one testicle — this is the most common first sign, present in over 90% of cases
A feeling of heaviness or dragging sensation in the scrotum
A dull ache or pressure in the lower abdomen, groin, or scrotum
A sudden collection of fluid in the scrotum (hydrocele)
How is Testicular Cancer Diagnosed?
Dr. Ashish Gupta uses a thorough and systematic approach to diagnose Testicular cancer accurately. The diagnostic process may include:
Physical examination
A doctor or urologist checks the testicles for a lump, swelling, hardness, tenderness, or changes in size.
Scrotal ultrasound
This painless scan helps determine whether a lump is inside the testicle and whether it is solid or fluid-filled. A solid mass inside the testicle may indicate cancer.
Blood tests for tumour markers
Blood may be tested for: AFP – Alpha-fetoprotein Beta-hCG – Human chorionic gonadotropin LDH – Lactate dehydrogenase
Surgery and tissue examination
When cancer is strongly suspected, the affected testicle is generally removed through an incision in the groin, called a radical inguinal orchiectomy. The tissue is then examined in a laboratory to confirm the type of cancer.
CT scan or other imaging
After confirmation, scans of the abdomen, pelvis and sometimes chest are performed to determine whether the cancer has spread.
What are Testicular Cancer Stages?
Staging helps determine how far the cancer has spread and guides the treatment plan. Testicular cancer is staged as follows:
- Stage 0: Abnormal cells (germ cell neoplasia in situ) are present only within the tiny tubules of the testicle. No invasion of surrounding tissue.
- Stage I: Cancer is confined to the testicle and immediately surrounding tissues. No spread to lymph nodes or distant organs. Subdivided into IA, IB, and IS based on tumour depth and marker levels. Cure rates exceed 99%.
- Stage IIA: Cancer has spread to nearby lymph nodes (retroperitoneal), measuring 2 cm or less in diameter. Tumour markers may be slightly elevated.
- Stage IIB: Cancer has spread to nearby lymph nodes measuring between 2 and 5 cm. Tumour markers may be elevated. Both IIA and IIB are highly curable with chemotherapy or radiation.
- Stage IIC: Spread to lymph nodes larger than 5 cm. More aggressive treatment required—typically 3 to 4 cycles of BEP chemotherapy.
- Stage IIIA / IIIB: Cancer has spread to distant lymph nodes or to the lungs (IIIA), or tumour markers are significantly elevated with nodal involvement (IIIB). Still highly treatable with chemotherapy.
- Stage IIIC: Cancer has spread to the liver, brain, or other distant organs beyond the lungs; or tumour markers are very high. Advanced disease — requires intensive chemotherapy and specialist management.
Testicular Cancer Treatment in Andheri May Include
Radical Inguinal Orchiectomy
The affected testicle is surgically removed through a small incision in the groin. This is usually the first and most important step in treating testicular cancer.
Active Surveillance
Patients with early-stage cancer may be closely monitored through regular blood tests, physical examinations and imaging scans without immediate additional treatment.
Chemotherapy
Anti-cancer medicines may be recommended when cancer has spread beyond the testicle or when there is a higher risk of the disease returning.
Radiation Therapy
Radiation treatment may be used for selected types of seminoma to destroy cancer cells in nearby lymph nodes and reduce the risk of recurrence.
Retroperitoneal Lymph Node Dissection
This surgery removes lymph nodes from the back of the abdomen when cancer has reached these areas or remains after chemotherapy.
Treatment for Recurrent Testicular Cancer
If the cancer returns, treatment may include further chemotherapy, surgery or a personalised combination of therapies based on previous treatment.
Fertility Preservation
Sperm banking may be advised before surgery, chemotherapy or radiation therapy because certain treatments can temporarily or permanently affect fertility.
Regular Follow-up Care
Blood tumour-marker tests, CT scans and clinical examinations are scheduled after treatment to monitor recovery and detect any signs of recurrence early.
Frequently Asked Questions About Testicular Cancer
This depends on the stage and type. Stage I disease after orchiectomy may only require surveillance — with no further active treatment. Chemotherapy typically involves 3 to 4 cycles of 3 weeks each, meaning 9 to 12 weeks in total. Radiation therapy takes 2 to 3 weeks of daily sessions. Dr. Gupta will give you a clear timeline at your consultation.
Recurrence is possible but not common, particularly after thorough initial treatment. The risk is highest in the first 2 years after treatment, which is why structured follow-up — including regular CT scans and tumour marker tests — is essential. Recurrent testicular cancer is still highly treatable, especially when caught early.
Not always. Painless lumps can also be caused by benign conditions such as epididymal cysts (spermatocele), hydrocele, varicocele, or orchitis. However, any new lump or hardness in the testicle should be evaluated promptly with a scrotal ultrasound. Never assume it is benign — early investigation is always the right approach.
The best treatment for testicular cancer depends on the cancer’s stage and type. It may include surgery, chemotherapy, or radiation therapy.
Stage 1 testicular cancer means the cancer is confined to the testicle and has not spread to nearby lymph nodes or other parts of the body.
Yes. Testicular cancer is highly treatable, especially when detected at an early stage. Treatment may include surgery, chemotherapy or radiation therapy, depending on the cancer type and stage.
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