Patient's question:
Detailed medical condition and consultation purpose: Testicular cancer, left testicle removed in June, preoperative HCG over 8000, decreased to 68 postoperatively, rose to over 400 after 2 months, then dropped to over 200 after 23 days of radiotherapy. Two months after radiotherapy ended, in October, it rose to over 700. By late November, spiral CT scan showed no lymph node infection, and no other signs of spread were detected. What could be the possible reasons for the continued rise in HCG?Doctor's answer:
Generally, an elevated hCG level is caused by pregnancy, and it is a relatively sensitive indicator for determining pregnancy. Considering that your menstrual cycle has already extended beyond the normal period, the possibility of pregnancy is very high. Combined with the symptom of abdominal pain, there is a possibility of ectopic pregnancy. It is recommended to undergo a timely re-examination. If ectopic pregnancy is confirmed, immediate surgical treatment is necessary, as otherwise there is a risk of severe bleeding.