Testikkelkreft
Sist oppdatert: Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Ukontrollert cellevekst som utgår fra germinalvevet utgjør 90-95% av alle tilfeller, utgjøres av to hovedtyper. Kryptorkisme øker risikoen
Forekomst:
Ca. 300 nye tilfeller årlig, og 98% er fortsatt i live 5 år etter diagnosen. Norge og Danmark har den høyeste insidens i verden. Den hyppigste kreftform blant yngre menn
Symptomer:
Som oftest er testikkelen uøm, men tyngdefornemmelse er vanlig. 10-20% har smerter
Funn:
Ved palpasjon kjennes svulsten hyppigst ventralt eller lateralt i en diffust forstørret testis, men den angrepne testikkelen kan også være mindre enn normalt
Diagnostikk:
Tidlig utredning skjer gjennom tumormarkører og ultralyd
Behandling:
Kirurgi, cytostatika og stråler er aktuelle behandlingsformer. Behandlingen gir helbredelse hos mer enn 95%
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- Terje Johannessen, professor i allmennmedisin, Trondheim
Tidligere fagmedarbeidere
- Truls E. Bjerklund Johansen, prof. dr. med., Urologisk afdeling, Århus Universitetshospital, 8200 Århus, DK
- Jan Oldenburg, dr. med., forsker, Radiumhospitalet, Oslo
- Svein Z. Bratland, spesialist i allmennmedisin, Sandviken Legesenter, Bergen, og seniorrådgiver i Statens helsetilsyn, Oslo