Elevated Tumor Markers and Liver Discomfort in Testicular Cancer - Urology

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Tumor markers are elevated, and there is a sense of pressure in the liver area?


Today, I inquired about the tumor markers for testicular cancer, which are above the normal range.
However, it has only been 21 days since my visit on December 15.
Recently, I have been experiencing a feeling of pressure in the area below my heart and around my liver, along with occasional prolonged pain.
Sometimes, I also feel pain in my abdomen, which makes me fear that it has already metastasized.
Does this mean it is in the advanced stage? Or could these symptoms still be considered normal, and should I wait for the results of the CT scan for confirmation? I noticed that most cases of testicular cancer I researched show painless swelling, and it hasn't been long since I first discovered the small hard lump and sought medical attention.

Nìmíng, 20~29 year old female. Ask Date: 2016/01/05

Dr. Xu Weikai reply Urology


Anonymous: Hello, isn't a CT scan quite fast? A week doesn't make much difference.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/05

More Info


Elevated tumor markers and discomfort in the liver area can understandably cause concern, especially in the context of testicular cancer. It’s important to approach this situation with a clear understanding of what elevated tumor markers mean, the implications of your symptoms, and the next steps in your diagnostic process.

Understanding Elevated Tumor Markers:
In testicular cancer, common tumor markers include alpha-fetoprotein (AFP), human chorionic gonadotropin (hCG), and lactate dehydrogenase (LDH). An elevation in these markers can indicate the presence of cancer, but it is not definitive on its own. Elevated levels may also occur due to other conditions, including liver disease, inflammation, or even benign tumors. Therefore, while elevated tumor markers are a concern, they must be interpreted in conjunction with imaging studies and clinical findings.

Symptoms and Their Implications:
The discomfort you are experiencing in the liver area, along with the pressure and occasional pain, can be alarming. While these symptoms can be associated with cancer progression or metastasis, they are not definitive indicators of advanced disease. It is crucial to remember that many patients with testicular cancer may experience various symptoms, and not all of them indicate a terminal stage.
Pain in the liver area could be due to several factors, including liver involvement by cancer, but it could also be related to other benign conditions. The liver is a large organ, and discomfort can arise from various sources, including gastrointestinal issues or even muscular strain.
Next Steps:
Given that you have already scheduled a CT scan, this is an essential step in determining the cause of your symptoms. Imaging studies can provide critical information about the size and location of any tumors, potential metastasis, and the overall condition of your liver and other abdominal organs.
If the CT scan reveals no signs of metastasis, it may help alleviate some of your concerns. However, if there are findings that suggest progression or metastasis, your healthcare team will discuss treatment options with you, which may include chemotherapy, radiation, or surgery, depending on the specifics of your case.

Monitoring and Follow-Up:
It is also important to maintain regular follow-ups with your oncologist. They can help monitor your tumor markers and symptoms over time. If your tumor markers continue to rise or if your symptoms worsen, further evaluation may be necessary.

Conclusion:
In summary, while elevated tumor markers and discomfort in the liver area can be concerning, they do not automatically indicate that you are in the terminal stage of cancer. It is essential to wait for the results of your CT scan and discuss them with your healthcare provider. They will be able to provide you with a clearer picture of your situation and guide you through the next steps in your treatment plan. Remember, early detection and intervention can significantly impact outcomes in cancer treatment, so staying proactive and engaged with your healthcare team is crucial.

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