Metastatic Testicular cancer

Metastatic Testicular Cancer

Metastatic testicular cancer or stage 4 testicular cancer is a rare form of cancer that occurs when cancer cells from a primary testicular tumour spread to other parts of the body. The cancer can spread to the lymph nodes, lungs, and other organs, such as the brain.

Although the prognosis for testicular cancer is generally good, metastatic testicular cancer can be more difficult to treat. With metastatic testicular cancer, treatment is typically aggressive, with a combination of chemotherapy, surgery, and radiation.

Signs & Symptoms of Metastatic Testicular Cancer

The main symptoms of metastatic testicular cancer are similar to those of normal testicular cancer, although they tend to be more severe. The most common symptoms include:

  • Back pain
  • Weight loss
  • Fever
  • Abdominal pain and swelling
  • Shortness of breath
  • Enlarged lymph nodes


If your doctor suspects that you have metastatic testicular cancer, they will likely order imaging tests (such as a CT scan or MRI) to confirm the diagnosis. They may also perform a blood test to check for elevated levels of tumor markers, which can indicate the presence of cancer. Your doctor may also order a biopsy to further confirm the diagnosis.


Treatment for metastatic testicular cancer typically involves a combination of chemotherapy, surgery, and radiation therapy. Depending on the stage and severity of the cancer, doctors may also recommend hormone therapy or immunotherapy.

Surgery is generally used to remove and/or destroy any cancerous tissue in the affected area. Radiation therapy may be used to kill any remaining cancer cells. Chemotherapy is typically used to destroy cancer cells throughout the body.


The outlook for people with metastatic testicular cancer varies depending on the stage and severity of the cancer. Generally speaking, the earlier the cancer is diagnosed and treated, the better the prognosis. With timely and appropriate treatment, many people with metastatic testicular cancer can make a full recovery.