Soft Mass on Left Testicle: Concerns About Testicular Cancer - Urology

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When it comes to concerns about a soft mass on the left testicle, it is understandable to feel anxious, especially when considering the possibility of testicular cancer. Testicular cancer is relatively rare but is the most common cancer in men aged 15 to 35. However, not all masses or lumps in the testicle are cancerous.
The first step in addressing your concerns is to understand the nature of the mass you are feeling. Testicular masses can be classified into several categories:
1. Benign Conditions: Many testicular masses are benign and can include conditions such as epididymal cysts, hydroceles (fluid accumulation), or varicoceles (enlarged veins). These conditions are usually not harmful and may not require treatment unless they cause discomfort or other issues.

2. Tumors: Testicular tumors can be either benign (such as Leydig cell tumors or Sertoli cell tumors) or malignant (testicular cancer). Malignant tumors can be further classified into germ cell tumors (the most common type, including seminomas and non-seminomas) and non-germ cell tumors.

3. Infections or Inflammation: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can also present as a mass and may be accompanied by pain or swelling.

Given that you mentioned the mass is soft, non-painful, and larger than the right testicle, it is essential to have a thorough evaluation by a healthcare professional. Here are some steps you should consider:

1. Consult a Healthcare Provider:
Schedule an appointment with a urologist, who specializes in male reproductive health. They will perform a physical examination and may order imaging tests, such as an ultrasound, to assess the mass's characteristics.


2. Ultrasound Examination:
An ultrasound is a non-invasive imaging technique that can help differentiate between solid and cystic masses. It can provide valuable information about the size, shape, and composition of the mass, which can help in determining whether it is likely benign or malignant.


3. Blood Tests:
Your doctor may also recommend blood tests to check for tumor markers associated with testicular cancer, such as alpha-fetoprotein (AFP), human chorionic gonadotropin (hCG), and lactate dehydrogenase (LDH). Elevated levels of these markers can indicate the presence of testicular cancer.


4. Follow-Up and Monitoring:
If the mass is determined to be benign, your doctor may recommend regular monitoring. If it is found to be malignant, the treatment plan may include surgery, chemotherapy, or radiation therapy, depending on the stage and type of cancer.


5. Self-Examination:
While waiting for your appointment, you can perform regular self-examinations of your testicles. This involves gently rolling each testicle between your fingers to feel for any lumps or changes. It is best to do this after a warm shower when the scrotum is relaxed.


Conclusion:
While it is natural to worry about the possibility of testicular cancer, it is crucial to remember that many testicular masses are benign. The best course of action is to seek medical advice promptly. Early diagnosis and treatment are key to managing any potential issues effectively. If you experience any additional symptoms, such as pain, swelling, or changes in urination, be sure to inform your healthcare provider.