Types of Testicular Cancer
Types of Testicular Cancer Testicular cancer is a malignant condition that affects the testicles, which are part of the male reproductive system. It is important to be aware of the different types of testicular cancer as early detection plays a crucial role in effective treatment and increased chances of survival.
There are several types of testicular cancer, each with its own characteristics and variations. Understanding these types can help individuals and healthcare professionals in making informed decisions regarding diagnosis and treatment.
We will also delve into mixed germ cell tumors, which involve a combination of different cancer cell types.
Furthermore, we will discuss the importance of proper diagnosis and staging in determining the type and extent of the disease, as well as the available treatment options, which may include surgery, chemotherapy, radiation therapy, and targeted therapy.
Survivorship and follow-up care will also be emphasized, highlighting the significance of long-term monitoring and support services for individuals who have undergone treatment for testicular cancer.
Finally, we will explore the future directions and ongoing research in the field of testicular cancer, underscoring the need for continued efforts to improve outcomes and provide better care for those affected by this disease.
ACIBADEM Health Point: Your Health is Our Priority!
ACIBADEM Health Point, we are dedicated to providing exceptional healthcare services to our patients. With a team of highly skilled medical professionals and state-of-the-art facilities, we strive to deliver the highest standard of care to improve the health and well-being of our patients. What sets ACIBADEM Health Point apart is our patient-centered approach. We prioritize your comfort, safety, and satisfaction throughout your healthcare journey. Our compassionate staff ensures that you receive personalized care tailored to your unique needs, making your experience with us as seamless and comfortable as possible.Understanding Testicular Cancer
Testicular cancer is a serious condition that affects the male reproductive system. It is important to have a comprehensive understanding of this disease, including its causes, risk factors, and symptoms. By raising awareness and knowledge about testicular cancer, we can promote early detection and improve treatment outcomes.
Causes: The exact cause of testicular cancer is still unknown. However, certain factors may increase the risk, such as:
- A family history of testicular cancer
- Undescended testicle(s)
- HIV infection
- Abnormal testicular development
Risk Factors: Testicular cancer mainly affects young and middle-aged men, typically between the ages of 15 and 44. Other risk factors include:
- Personal history of testicular cancer
- Having an abnormal testicle
- Being Caucasian
Symptoms: It is crucial to be aware of the signs and symptoms of testicular cancer. These may include:
- A lump or swelling in one or both testicles
- Pain or discomfort in the scrotum or testicles
- A feeling of heaviness in the scrotum
- Changes in the size or shape of the testicles
Early diagnosis plays a vital role in the successful treatment of testicular cancer. Therefore, it is important to seek medical attention if any of these symptoms are experienced. In the following sections, we will explore the different types of testicular cancer in detail and discuss their characteristics, diagnosis, and treatment options.
Seminomas – the Most Common Type
Seminomas are the most common type of testicular cancer, accounting for around 50-55% of all cases. These tumors typically develop from the germ cells, which are responsible for producing sperm. Seminomas are classified as a subtype of germ cell tumors, which are tumors that originate from the cells that form sperm in the testicles.
Seminoma Characteristics:
- Slow-growing tumors
- Most commonly affect men between the ages of 25 and 45
- Found in one or both testicles
- Generally confined to the testicles and do not metastasize to other parts of the body
Diagnosis:
Seminomas are typically diagnosed through a combination of medical history, physical examination, imaging tests (such as ultrasound or CT scan), and blood tests (including tumor marker tests like alpha-fetoprotein).
Treatment:
Treatment options for seminomas depend on the stage and extent of the cancer. They may include:
| Treatment Options for Seminomas: | Description: |
|---|---|
| Surgery | Orchiectomy (removal of the affected testicle) and possibly retroperitoneal lymph node dissection |
| Radiation Therapy | High-energy X-rays or other radiation sources to destroy cancer cells |
| Chemotherapy | Anti-cancer drugs administered either intravenously or orally to kill cancer cells |
Overall, the prognosis for seminomas is generally favorable, with high survival rates, especially when diagnosed early and treated promptly.
Non-Seminomatous Germ Cell Tumors
Non-seminomatous germ cell tumors are another common type of testicular cancer. They are a group of cancers that originate from the cells that produce sperm. These tumors can be classified into several subtypes, each with its own characteristics and treatment approaches.
Subtypes of Non-Seminomatous Germ Cell Tumors
Non-seminomatous germ cell tumors can include several subtypes, such as:
- Embryonal carcinoma
- Yolk sac tumor
- Choriocarcinoma
- Teratoma
- Mixed germ cell tumors (combination of two or more subtypes)
Each subtype has unique features and may require different treatment strategies. It is essential to accurately diagnose the specific subtype to determine the most effective course of action.
Treatment Approaches
The treatment for non-seminomatous germ cell tumors typically involves a combination of surgery, chemotherapy, and radiation therapy. The specific treatment plan depends on the stage of the cancer and the presence of any metastasis.
When feasible, surgery is often the first-line treatment to remove the tumor. This may be followed by chemotherapy to target any remaining cancer cells. In some cases, radiation therapy may also be used to eliminate residual cancer cells or to treat cancers that have spread to nearby lymph nodes.
Prognosis
The prognosis for non-seminomatous germ cell tumors depends on various factors, including the stage and subtype of the cancer, as well as the individual’s overall health. Generally, the earlier the cancer is detected and treated, the better the prognosis.
With advancements in medical technology and treatment options, the survival rates for non-seminomatous germ cell tumors have significantly improved over time. However, it is important for individuals to undergo regular follow-up appointments and screenings to monitor for any potential recurrence or new developments.
| Subtype | Treatment Approach | Prognosis |
|---|---|---|
| Embryonal carcinoma | Surgery, chemotherapy, and radiation therapy | Varies based on stage and response to treatment |
| Yolk sac tumor | Surgery, chemotherapy, and radiation therapy | Favorable prognosis, especially in early stages |
| Choriocarcinoma | Chemotherapy and surgical removal | Varies depending on stage and extent of the disease |
| Teratoma | Surgery, chemotherapy, and radiation therapy | Prognosis is generally favorable, especially in early stages |
| Mixed germ cell tumors | Varies based on predominant subtypes and treatment response | Varies depending on the composition and stage of the tumor |
Leydig Cell Tumors
In this section, we will explore Leydig cell tumors, which are rare types of testicular cancer. Although less common than other forms of testicular cancer, Leydig cell tumors can still pose significant health concerns. Understanding their characteristics, diagnosis, and treatment options is crucial for providing appropriate care and support to individuals affected by these rare tumors.
Characteristics:
Leydig cell tumors originate from the Leydig cells in the testicles, which are responsible for producing the male hormone testosterone. These tumors are typically benign, meaning they are non-cancerous in most cases. However, in rare instances, Leydig cell tumors can become malignant and spread to other parts of the body.
Diagnosis:
Diagnosing Leydig cell tumors often involves a combination of physical examination, imaging tests (such as ultrasound or MRI), and blood tests to assess hormone levels. Biopsy may be necessary to confirm the presence of a Leydig cell tumor and determine if it is benign or malignant.
Treatment:
The treatment approach for Leydig cell tumors depends on various factors, including the tumor’s size, whether it is benign or malignant, and the patient’s overall health. In many cases, surgical removal of the tumor is sufficient to treat Leydig cell tumors. In malignant cases or when the tumor has spread, additional treatments such as chemotherapy or radiation therapy may be recommended.
To provide a comprehensive overview of Leydig cell tumors, let’s examine a table highlighting key characteristics, diagnosis methods, and treatment options:
| Characteristics | Diagnosis | Treatment |
|---|---|---|
| – Originate from Leydig cells | – Physical examination | – Surgical removal of tumor |
| – Most are benign | – Imaging tests (ultrasound, MRI) | – Chemotherapy (in malignant cases) |
| – Rarely malignant and spread | – Blood tests for hormone levels | – Radiation therapy (in advanced cases) |
Sertoli Cell Tumors
In this section, we will explore Sertoli cell tumors, which are rare types of testicular cancer. While not as common as other types, understanding Sertoli cell tumors is important for a comprehensive understanding of testicular cancer.
Sertoli cell tumors, also known as Sertoli-Leydig cell tumors, arise from the Sertoli cells in the testicles. These tumors are characterized by the abnormal growth of Sertoli cells, which are responsible for supporting the development of sperm cells.
Diagnosing Sertoli cell tumors can be challenging as they often present with nonspecific symptoms, similar to other types of testicular cancer. However, certain characteristics may indicate the presence of Sertoli cell tumors, such as testicular swelling, pain, or the presence of a palpable lump.
Diagnosis of Sertoli Cell Tumors
Diagnosing Sertoli cell tumors involves a combination of medical history assessment, physical examination, imaging tests, and laboratory analysis. Ultrasound imaging is commonly used to visualize the testicles and identify any abnormalities. Additionally, blood tests may be performed to measure tumor markers, such as alpha-fetoprotein (AFP) and human chorionic gonadotropin (HCG).
Once a potential Sertoli cell tumor is detected, a biopsy is usually performed to confirm the diagnosis. This involves removing a small sample of testicular tissue for examination under a microscope.
Treatment Options for Sertoli Cell Tumors
The treatment approach for Sertoli cell tumors may vary depending on the stage and characteristics of the tumor. In most cases, surgical removal of the tumor, known as a radical inguinal orchiectomy, is the primary treatment. This involves removing the affected testicle to prevent the spread of cancerous cells.
In some cases, additional treatment modalities, such as radiation therapy or chemotherapy, may be recommended to target any remaining cancer cells or to manage the rare cases of metastatic disease. These treatments aim to improve outcomes and reduce the risk of recurrence.
While Sertoli cell tumors are rare, it is essential to have a comprehensive understanding of the different types of testicular cancer. This knowledge can help healthcare professionals provide accurate diagnoses and appropriate treatment plans for individuals affected by these rare types of testicular cancer.
Lymphoma and Secondary Testicular Cancer
In addition to the commonly known types of testicular cancer, such as seminomas and non-seminomatous germ cell tumors, there are rare types that require attention and understanding. Among these rare types are lymphoma and secondary testicular cancer.
Lymphoma
Lymphoma is a type of cancer that normally affects the lymphatic system, which is responsible for fighting infections and diseases in the body. However, in rare cases, lymphoma can also occur in the testicles.
It is worth noting that testicular lymphoma is distinct from other types of testicular cancer. This rare form of lymphoma primarily affects older men and typically does not present with the same symptoms as other testicular cancers. Therefore, it is crucial to be aware of the possibility of lymphoma when assessing testicular abnormalities.
Although testicular lymphoma is relatively rare, its impact can be significant. Prompt diagnosis and appropriate treatment are essential for optimal outcomes. Treatment may involve chemotherapy, radiation therapy, or a combination of both, depending on the individual’s specific condition.
Secondary Testicular Cancer
Secondary testicular cancer, also known as metastatic testicular cancer, occurs when cancer spreads to the testicles from another part of the body. This means that the testicles are not the primary site of the cancer, but rather a secondary location where the cancer has spread.
Secondary testicular cancer is a rare occurrence and is most often associated with cancers originating in the prostate, kidney, lung, or gastrointestinal tract. The spread of cancer to the testicles typically indicates an advanced stage of the disease, requiring comprehensive evaluation and tailored treatment approaches.
The treatment of secondary testicular cancer depends on the primary cancer site and the extent of metastasis. It may involve surgeries, radiation therapy, chemotherapy, targeted therapies, or a combination of these interventions.
Rare Types of Testicular Cancer
Lymphoma and secondary testicular cancer represent rare but important types of testicular cancer to be aware of. Recognizing the signs and symptoms, seeking early medical attention, and obtaining an accurate diagnosis are crucial for effective management and improved outcomes.
It is vital to stay informed about these rare types of testicular cancer and to discuss any concerns or symptoms with a healthcare provider. Early detection and proper treatment can significantly impact the prognosis and overall well-being of individuals affected by these conditions.
Mixed Germ Cell Tumors
Mixed germ cell tumors are a complex form of testicular cancer that involves the presence of two or more different types of testicular cancer cells. These tumors can be challenging to diagnose and treat due to their heterogeneity.
Characteristics
Mixed germ cell tumors typically consist of a combination of seminomas and non-seminomatous germ cell tumors, such as embryonal carcinoma, yolk sac tumor, choriocarcinoma, or teratoma.
Seminoma: This type of testicular cancer is characterized by slow growth and tends to affect men in their 30s and 40s. Seminomas are usually sensitive to radiation therapy and have a higher cure rate compared to other types of testicular cancer.
Non-seminomatous germ cell tumors: These tumors are more aggressive and tend to occur in younger men, typically in their late teens or early 20s. Non-seminomatous germ cell tumors can spread to other parts of the body, making them more difficult to treat.
Diagnosis
The diagnosis of mixed germ cell tumors involves a combination of physical examinations, blood tests, imaging scans (such as ultrasound and CT scans), and a biopsy of the testicular tissue.
Treatment options
The treatment approach for mixed germ cell tumors depends on various factors, including the stage and extent of the cancer. Treatment options may include:
- Surgery: The primary treatment for testicular cancer is the surgical removal of the affected testicle, known as radical inguinal orchiectomy. This procedure helps determine the type and stage of the cancer and may be followed by additional treatments.
- Chemotherapy: Chemotherapy is often recommended after surgery to eliminate any remaining cancer cells and reduce the risk of recurrence. Combination chemotherapy regimens are commonly used for mixed germ cell tumors.
- Radiation therapy: Radiation therapy may be used in specific cases to target residual cancer cells following surgery.
- Surveillance: In some cases, surveillance may be an appropriate option, particularly for low-stage and low-volume tumors. Regular follow-up visits and imaging tests are conducted to monitor the patient’s condition for any signs of cancer recurrence.
It is important for individuals diagnosed with mixed germ cell tumors to consult with a specialist who can provide personalized treatment recommendations based on their specific case and medical history.
Diagnosis and Staging
In order to diagnose and stage testicular cancer, several tests and procedures are utilized. These help determine the specific type of cancer cells involved and the extent to which the disease has spread.
Diagnostic Tests
The following diagnostic tests are commonly used to identify and characterize the types of testicular cancer cells:
- Physical examination: A healthcare provider examines the testicles and surrounding areas to check for any abnormalities or lumps.
- Ultrasound: This non-invasive imaging test uses sound waves to create detailed images of the testicles. It helps identify the presence of tumors and determines their size and location.
- Blood tests: Certain blood markers are measured to help diagnose testicular cancer. These include alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), and lactate dehydrogenase (LDH).
- Biopsy: Tissue samples are obtained from the testicle through a surgical procedure called a biopsy. The samples are analyzed under a microscope to confirm the presence of cancer cells and identify the specific type.
Staging Procedures
Once testicular cancer is diagnosed, staging procedures are performed to determine the extent of the disease and help guide treatment decisions. The information obtained from staging helps classify the cancer into different stages, ranging from stage 0 to stage IV.
The following staging procedures may be conducted:
- Imaging tests: X-rays, CT scans, and magnetic resonance imaging (MRI) scans are used to obtain detailed images of the chest, abdomen, and pelvis. These tests help identify if the cancer has spread to nearby lymph nodes or other parts of the body.
- Radical inguinal orchiectomy: This surgical procedure involves the removal of the affected testicle. The removed testicle is examined to confirm the diagnosis and stage the cancer accurately.
- Lymph node dissection: If the cancer has spread to the lymph nodes, further surgical procedures may be performed to remove the affected lymph nodes and assess their involvement.
Based on the results of these tests and procedures, testicular cancer is classified and staged, which helps determine the most appropriate treatment plan.
| Stage | Description |
|---|---|
| Stage 0 | The cancer is confined to the testicle. |
| Stage I | The cancer has not spread beyond the testicle. |
| Stage II | The cancer has spread to nearby lymph nodes. |
| Stage III | The cancer has spread to distant lymph nodes or other organs. |
Treatment Options
When it comes to treating testicular cancer, there are several options available. The choice of treatment depends on various factors, including the type and stage of the cancer, as well as the patient’s overall health and preferences. Here are the most common treatment approaches used for different types of testicular cancer cells:
Surgery
Surgery is often the initial treatment for testicular cancer. It involves the removal of the affected testicle, known as radical inguinal orchiectomy. After the surgery, a pathologist examines the testicle to determine the type of cancer cells present. In some cases, additional procedures may be required to remove lymph nodes or perform reconstructive surgery.
Chemotherapy
Chemotherapy is a systemic treatment that uses drugs to destroy cancer cells in the body. It is commonly used for both seminomatous and non-seminomatous germ cell tumors. Chemotherapy can be administered before or after surgery, depending on the stage and type of cancer. The specific drugs and duration of treatment vary, but the aim is to eradicate cancer cells and prevent recurrence.
Radiation Therapy
Radiation therapy uses high-energy X-rays or other forms of radiation to target and kill cancer cells. It is often used as an adjuvant therapy after surgery for seminomas, or when chemotherapy is not suitable. Radiation therapy may also be used palliatively to relieve symptoms in advanced cases of testicular cancer.
Targeted Therapy
Targeted therapy is a newer treatment option that focuses on specific molecular changes in cancer cells. It involves drugs that inhibit the growth of cancer cells by targeting these specific changes. This form of therapy may be used for certain types of advanced testicular cancer or if other treatments have not been effective.
It is important to note that treatment plans may vary depending on individual cases, and consultations with healthcare professionals are essential. The table below summarizes the characteristics of each treatment option:
| Treatment Option | Description | Applicability | Potential Side Effects |
|---|---|---|---|
| Surgery | Removal of affected testicle and possible lymph node dissection | Most cases of testicular cancer | Pain, swelling, infection, fertility issues, psychological impact |
| Chemotherapy | Systemic administration of drugs to kill cancer cells | Seminomatous and non-seminomatous germ cell tumors | Nausea, hair loss, fatigue, increased risk of infection |
| Radiation Therapy | Use of high-energy radiation to destroy cancer cells | Adjuvant therapy for seminomas, palliative treatment | Skin irritation, fatigue, infertility, long-term effects on other organs |
| Targeted Therapy | Drugs that target specific molecular changes in cancer cells | Advanced testicular cancer, treatment-resistant cases | Diarrhea, skin rash, liver toxicity, cardiovascular effects |
Survivorship and Follow-up Care
After undergoing treatment for testicular cancer, survivorship and follow-up care play crucial roles in ensuring long-term health and well-being. The Acibadem Healthcare Group is committed to providing comprehensive support and follow-up services to help individuals navigate their survivorship journey.
The Role of Healthcare Providers
Once treatment is completed, healthcare providers at the Acibadem Healthcare Group work closely with patients to develop personalized survivorship plans. These plans may include regular check-ups, follow-up appointments, and ongoing monitoring to detect any potential recurrence or long-term side effects.
Healthcare providers also educate patients about potential signs and symptoms to watch for and provide guidance on maintaining a healthy lifestyle to reduce the risk of cancer recurrence.
Support Services
At Acibadem Healthcare Group, we understand that the emotional and psychological well-being of cancer survivors is just as important as their physical health. That’s why our support services are designed to address the unique needs and challenges faced by testicular cancer survivors.
- Psychosocial support: We offer counseling services and support groups to help survivors cope with the emotional impact of their cancer journey.
- Nutritional counseling: Our dietitians provide guidance on maintaining a healthy diet and managing any dietary changes that may be necessary after treatment.
- Physical therapy: We offer rehabilitation services to help survivors regain strength, manage side effects, and improve quality of life.
Long-Term Monitoring
Regular follow-up appointments and monitoring tests are essential for detecting any potential recurrence or late effects of treatment. The Acibadem Healthcare Group provides a comprehensive range of monitoring services, including:
- Regular physical examinations
- Blood tests to check tumor markers
- Imaging studies such as ultrasound, CT scans, or X-rays
- Fertility preservation consultations and services
By closely monitoring survivors, we can detect and address any issues that may arise promptly, ensuring the best possible outcomes.
| Benefits of Survivorship and Follow-up Care | Acibadem Healthcare Group Services |
|---|---|
| Holistic care for physical, emotional, and psychological well-being | Psychosocial support, nutritional counseling, physical therapy |
| Detection of potential cancer recurrence | Regular physical examinations, blood tests, imaging studies |
| Management of late effects of treatment | Long-term monitoring, fertility preservation services |
Future Directions and Research
As the medical community continues to make strides in understanding, diagnosing, and treating testicular cancer, ongoing studies and research play a vital role in shaping the future of this disease. Organizations like Acibadem Healthcare Group are at the forefront of driving innovation and conducting groundbreaking research.
Researchers are exploring various aspects of testicular cancer, including the identification of new biomarkers for early detection, the development of targeted therapies with minimal side effects, and the investigation of immunotherapeutic approaches to enhance the body’s immune response against cancer cells.
Additionally, the field of genomics is offering exciting possibilities for personalized medicine in testicular cancer treatment. By analyzing a patient’s genetic profile, doctors can develop tailored treatment plans that are more effective and have fewer adverse effects.Types of Testicular Cancer
The commitment to future research and collaboration between medical professionals, scientists, and institutions like Acibadem Healthcare Group pave the way for continued advancements in the fight against testicular cancer. With each breakthrough, more treatment options and improved outcomes become possible, providing hope and a brighter future for individuals facing this disease.
FAQ
What are the different types of testicular cancer?
The different types of testicular cancer include seminomas, non-seminomatous germ cell tumors, Leydig cell tumors, Sertoli cell tumors, lymphoma, secondary testicular cancer, and mixed germ cell tumors.
What are seminomas?
Seminomas are the most common type of testicular cancer. They originate in the cells that produce sperm and are usually slow-growing and more responsive to radiation therapy.
What are non-seminomatous germ cell tumors?
Non-seminomatous germ cell tumors are another common type of testicular cancer. They include subtypes such as yolk sac tumors, embryonal carcinomas, choriocarcinomas, and teratomas. Treatment often involves a combination of surgery, chemotherapy, and radiation therapy.
Are Leydig cell tumors common?
Leydig cell tumors are rare types of testicular cancer. They develop in the cells that produce testosterone. Treatment options may include surgery to remove the tumor or hormone therapy.
What are Sertoli cell tumors?
Sertoli cell tumors are another rare type of testicular cancer. They originate in the cells that support the development of sperm. Treatment typically involves surgical removal of the tumor.
What is lymphoma in the context of testicular cancer?
Lymphoma can rarely occur in the testicles. It refers to cancer of the lymphatic system, which is a part of the immune system. Treatment may involve a combination of surgery, radiation therapy, and chemotherapy.
What is secondary testicular cancer?
Secondary testicular cancer occurs when cancer spreads to the testicles from another part of the body, such as the prostate, lung, or kidney. The treatment approach depends on the primary cancer and its stage.
What are mixed germ cell tumors?
Mixed germ cell tumors involve a combination of two or more types of testicular cancer cells, such as seminomas and non-seminomatous germ cell tumors. Treatment depends on the specific cell types present.
How is testicular cancer diagnosed and staged?
Testicular cancer is typically diagnosed through physical examination, ultrasound, blood tests, and biopsy. Staging involves determining the extent of the cancer, which helps guide treatment decisions. Imaging tests and possibly surgery may be used for staging.
What are the treatment options for testicular cancer?
Treatment options for testicular cancer include surgery to remove the affected testicle (radical orchiectomy), chemotherapy, radiation therapy, and targeted therapy. The choice of treatment depends on the type and stage of the cancer.
What is the importance of survivorship and follow-up care?
Survivorship and follow-up care are crucial for individuals who have undergone treatment for testicular cancer. Regular check-ups, monitoring for recurrence, and addressing long-term side effects are essential for overall health and well-being.
What is the role of Acibadem Healthcare Group in testicular cancer care?
Acibadem Healthcare Group provides comprehensive care for individuals with testicular cancer, offering advanced diagnostics, personalized treatment plans, and expert medical professionals. They prioritize patient-centered care and support throughout the cancer journey.
What does the future hold for testicular cancer research?
Ongoing research in testicular cancer aims to improve treatment outcomes, develop targeted therapies, and explore new diagnostic tools. The future holds potential advancements that may further enhance the detection, management, and survival rates for testicular cancer.
ACIBADEM Healthcare Group Hospitals and Clinics
With a network of hospitals and clinics across 5 countries, including 40 hospitals, ACIBADEM Healthcare Group has a global presence that allows us to provide comprehensive healthcare services to patients from around the world. With over 25,000 dedicated employees, we have the expertise and resources to deliver unparalleled healthcare experiences. Our mission is to ensure that each patient receives the best possible care, supported by our commitment to healthcare excellence and international healthcare standards. Ready to take the first step towards a healthier future? Contact us now to schedule your Free Consultation Health session. Our friendly team is eager to assist you and provide the guidance you need to make informed decisions about your well-being. Click To Call Now!*The information on our website is not intended to direct people to diagnosis and treatment. Do not carry out all your diagnosis and treatment procedures without consulting your doctor. The contents do not contain information about the therapeutic health services of Acıbadem Health Group.
