A lump on the right testicle?
Hello doctor, I would like to ask, this week I noticed a small lump the size of a mung bean on the right testicle in my scrotum, which feels slightly painful when pressed.
Could this be testicular cancer? Do I need to go to the hospital for an examination?
Mr. Chen, 10~19 year old female. Ask Date: 2016/03/27
Dr. Li Xinyi reply Urology
It is generally recommended to see a urologist for an examination to ensure peace of mind regarding a common condition such as a hydrocele.
Reply Date: 2016/03/27
More Info
When it comes to discovering a lump on the testicle, it is essential to approach the situation with caution and awareness. Testicular lumps can be concerning, and while not all lumps are indicative of cancer, it is crucial to seek medical evaluation to rule out any serious conditions, including testicular cancer.
Testicular cancer is relatively rare but is the most common cancer in young men aged 15 to 35. The symptoms can vary, but a lump or swelling in the testicle is often the first noticeable sign. Other symptoms may include a feeling of heaviness in the scrotum, a dull ache in the lower abdomen or groin, or changes in the size or shape of the testicle. However, not all lumps are cancerous; they can also be caused by conditions such as epididymal cysts, varicoceles, or infections like epididymitis.
In your case, you mentioned that the lump is about the size of a green bean and causes slight pain when pressed. This could suggest several possibilities, including:
1. Epididymal Cyst: These are fluid-filled sacs that can develop in the epididymis (the tube at the back of the testicle). They are usually painless but can cause discomfort if they grow large enough.
2. Varicocele: This is an enlargement of the veins within the scrotum and can sometimes present as a lump. It is often described as feeling like a "bag of worms."
3. Infection or Inflammation: Conditions like epididymitis (inflammation of the epididymis) can cause swelling and tenderness in the testicle.
4. Testicular Cancer: While it is a possibility, especially given the age range and the nature of the lump, it is important to remember that many lumps are benign.
Given the symptoms you described, it is advisable to see a healthcare provider for a thorough examination. A doctor will typically perform a physical examination and may order an ultrasound of the scrotum to get a clearer picture of the lump. This imaging test is non-invasive and can help determine the nature of the lump—whether it is solid or fluid-filled, which can guide further management.
In summary, while it is understandable to feel anxious about the possibility of testicular cancer, it is essential to approach this situation with a level-headed perspective. The best course of action is to schedule an appointment with a healthcare professional who can provide a proper diagnosis and discuss any necessary treatment options. Early detection and intervention are key in managing any potential issues effectively. Remember, it is always better to err on the side of caution when it comes to your health.
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