Testicular Lumps: Symptoms and Concerns

Q: Testicular Lumps: Symptoms and Concerns

Hello： 1) I cannot tell you whether it is cancer without an examination, but testicular cancer has a characteristic of rapid development. <br>It is usually unilateral, and a duration of four years is unlikely, but I still recommend that you visit a urology department at a major h

Testicular issues

Hello doctor, four years ago I noticed several hard lumps above my right testicle (they don't hurt when pressed).
Until this year, my left testicle has developed the same symptoms as my right testicle.
My testicles are soft, but there is no pain when pressed.
Could you please tell me what these symptoms might be? Could it be testicular cancer?

Kongju, 10~19 year old female. Ask Date: 2021/02/22

Dr. Liu Mingyue reply Urology

Hello: 1) I cannot tell you whether it is cancer without an examination, but testicular cancer has a characteristic of rapid development.
It is usually unilateral, and a duration of four years is unlikely, but I still recommend that you visit a urology department at a major hospital for an examination when you have time.
Most doctors can provide a general assessment through palpation, which would be better for you and is the correct course of action.
2) It is possible that there are small cysts in the epididymis.
Have you engaged in vigorous exercise? Wishing you good health.

Reply Date: 2021/02/22

More Info

When it comes to testicular lumps, it is essential to approach the situation with caution and a thorough understanding of the potential implications. The presence of hard lumps on the testicles can be concerning, and while it is not uncommon for men to experience various benign conditions, it is crucial to rule out serious issues such as testicular cancer.

Firstly, the fact that you have noticed hard lumps on both the right and left sides of your testicles is noteworthy. The absence of pain upon palpation is also an important detail. Testicular lumps can arise from a variety of causes, including:
1. Epididymal Cysts: These are fluid-filled sacs that can develop in the epididymis, the tube that stores and carries sperm. They are usually painless and benign.

2. Spermatocele: Similar to epididymal cysts, spermatoceles are cysts that contain sperm and are typically painless.

3. Varicocele: This condition involves enlarged veins within the scrotum and can sometimes be felt as lumps. It is generally not painful but can affect fertility.

4. Testicular Cancer: While less common, it is a serious condition that can present as a lump or swelling in the testicle. Testicular cancer often does not cause pain in its early stages, which can make it more insidious.

5. Hydrocele: This is a buildup of fluid around the testicle, which can cause swelling but is usually not painful.

Given your symptoms, it is essential to consider the possibility of testicular cancer, especially since you have observed these lumps for an extended period. Testicular cancer is most common in younger men, typically between the ages of 15 and 35. Early detection is crucial, as the prognosis is generally very good when the cancer is caught early.

To address your concerns, I recommend the following steps:
1. Consult a Healthcare Professional: It is vital to schedule an appointment with a urologist or your primary care physician. They can perform a physical examination and may recommend an ultrasound of the testicles to assess the nature of the lumps.

2. Ultrasound Examination: This imaging test is non-invasive and can help differentiate between solid masses (which could indicate cancer) and fluid-filled cysts (which are usually benign).

3. Blood Tests: In some cases, blood tests may be conducted to check for tumor markers associated with testicular cancer, such as alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG).

4. Regular Self-Examinations: It is advisable to perform regular testicular self-examinations to monitor any changes in size, shape, or texture of the testicles. This practice can help in early detection of potential issues.

In conclusion, while the lumps you describe may not necessarily indicate testicular cancer, it is crucial to take them seriously and seek medical evaluation. Early diagnosis and treatment are key to managing any potential health issues effectively. Please do not delay in seeking medical advice, as your health and peace of mind are paramount.

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