Testicular Lumps: Should You Worry About Cancer?

Epididymal mass or lump?

Hello, doctor.
When I was in the first year of high school, I discovered painless hard lumps on the right testicle (not just one, but many connected together), and these lumps are located above my testicle.
I have not experienced any other abnormalities in my body.
When I was in my first year of high school (15 years old), I also found hard lumps on my left testicle, similar to those on the right side.
Doctor, could this be testicular cancer or other conditions? Is it necessary for me to visit a hospital?

Chongman Kongju de 16 Sui, 10~19 year old female. Ask Date: 2020/10/10

Dr. Xu Wencang reply Urology

You can visit the outpatient clinic for examination.

Reply Date: 2020/10/10

More Info

When it comes to testicular lumps, it is essential to approach the situation with caution and awareness. Testicular lumps can arise from various causes, and while some may be benign, others can indicate more serious conditions, including testicular cancer.
Firstly, the presence of painless lumps in the testicles, especially if they are multiple and located above the testicle, warrants a thorough evaluation. Testicular cancer typically presents as a painless lump or swelling in the testicle, and it is most common in younger males, particularly those between the ages of 15 and 35. However, not all lumps are cancerous. Conditions such as epididymal cysts, varicoceles, or hydroceles can also present as lumps in the scrotal area and are generally benign.

Given your history of noticing lumps in both testicles since the age of 15, it is crucial to have these lumps evaluated by a healthcare professional. While the lumps may not be causing any pain or discomfort, the fact that they have persisted and multiplied over time is a reason for concern. A healthcare provider will likely perform a physical examination and may recommend an ultrasound of the testicles. An ultrasound is a non-invasive imaging technique that can help differentiate between solid masses (which may indicate cancer) and fluid-filled cysts (which are usually benign).

If testicular cancer is suspected, further diagnostic tests, including blood tests for tumor markers (such as alpha-fetoprotein, beta-human chorionic gonadotropin, and lactate dehydrogenase), may be conducted. These markers can help in assessing the likelihood of cancer and determining the appropriate course of action.

It is also important to note that early detection of testicular cancer significantly improves treatment outcomes. If cancer is diagnosed, treatment options may include surgery (orchiectomy), chemotherapy, or radiation therapy, depending on the stage and type of cancer.

In summary, while not all testicular lumps are indicative of cancer, the persistence and characteristics of the lumps you described warrant a visit to a healthcare provider. It is better to err on the side of caution and have a professional evaluation to rule out any serious conditions. Early diagnosis and intervention are key to successful treatment, so do not hesitate to seek medical advice.

Similar Q&A

Understanding Testicular Lumps: When to Worry About Cancer

Hello Dr. Du, I apologize for the interruption. Last night while showering, I noticed 2-3 small lumps in the area of the right testicle and epididymis that feel like acne. They cause slight pain when pressed. I am concerned whether this could be testicular cancer, and I would app...

Dr. Du Mingyi reply Urology
If it is on the skin, there is no need to worry; it is just a regular pimple. However, if it is internal, you should visit a urology clinic for evaluation.

Understanding Testicular Lumps: Should You Worry About Cancer?

Hello Doctor, this evening while showering, I unexpectedly felt a hard lump on my left testicle, about the size of a potato. It doesn't hurt, and pressing on the lump also doesn't cause any pain. My ejaculation and urination are normal. Is there a high likelihood of tes...

Dr. Xu Weikai reply Urology
Hello, if a mass is located in the testicle, there is a 90% chance it is malignant. If it is in the tissues outside the testicle, the likelihood of malignancy is very low (less than 10%). As for whether to seek medical attention, I will leave that to your judgment. If there are a...

Understanding Testicular Lumps: Should You Worry About Cancer?

Hello, doctor. I have several hard lumps on both of my testicles. My testicles are soft and elastic, and the lumps do not hurt when squeezed. They have been present for several years without any increase in size. Doctor, could this be testicular cancer? Do I need to go to the hos...

Dr. Du Shixi reply Urology
Hello: Testicular cancer tends to grow rapidly, but it is recommended to consult a urologist for examination. Wishing you good health.

Understanding Scrotal Lumps: Causes, Concerns, and Next Steps

Hello doctor, I recently noticed some lumps in my genital area that I am sure were not there before. Initially, I found one lump and didn't think much of it, but recently I discovered several more on my scrotum. I've heard that this could be a symptom of cancer, and I a...

Dr. Lin Hexing reply Urology
Hello: What you described as "the word" is unclear. I suggest you consult a urologist or dermatologist for an examination to determine the next steps. Don't immediately think of cancer upon discovering anything; it doesn't develop that quickly. Given your age,...