The Birmingham Testicular and Germ Cell Supra-regional Service is based at Queen Elizabeth Hospital Birmingham (QEHB). We provide a specialist service for the wider West Midlands, including:
- Birmingham and Solihull
- Worcestershire
- The Black Country
- Shropshire and Telford
- Stoke-on-Trent and Staffordshire
About testicular and germ cell cancer
Testicular and germ cell cancers are rare but highly treatable, even if the cancer has spread.
You may have already had:
- an ultrasound scan
- a CT scan
- blood tests (including tumour markers such as HCG and AFP)
- surgery to remove the testicle (orchidectomy)
Once referred, your case will be reviewed by our Multi Disciplinary Team (MDT). A member of the Clinical Nurse Specialist (CNS) team will then contact you to discuss your plan of care and arrange an appointment.
Our multidisciplinary team (MDT) is made up of specialist surgeons, oncologists, cancer CNS's radiologists and histopathologists.
Not all testicular or germ cell cancers start in the testicle. Some may begin in the chest (mediastinal) or abdomen (retroperitoneal). A biopsy is not always necessary to confirm the diagnosis.
Treatment options may include:
- surgery
- chemotherapy
- radiotherapy (less commonly)
- in some cases, orchidectomy alone is sufficient
All patients are followed up for at least five years, which may involve:
- CT scans
- blood tests
- clinic appointments
Contact details
Testicular (Germ Cell) Clinical Nurse Specialist (CNS) team
Available from Monday to Friday, 09:00–16:00 (excluding bank holidays).
Urgent referrals
Contact the CNS team or Dr Grumett’s registrar via the switchboard between Monday to Friday, 09:00–15:00:
Out of hours
Contact the oncology registrar on call via the switchboard:
Acute Oncology Services (AOS)
For any patients on anti–cancer treatment who suffer from:
- a temperature of 37.5C or above
- flu-like symptoms
- shivers/chills or feel poorly
Please call the AOS 24-hour emergency helpline:
Last reviewed: 29 September 2025