Hard Lumps on the Testicle: Cancer Risks Explained - Urology

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Testicular issues


Hello doctor, I have noticed a few small hard bumps behind my right testicle, which I remember have been there for quite a long time.
I recently learned that these hard bumps could potentially lead to cancer.
Is the likelihood of cancer really as high as what is mentioned online?

A Tang, 20~29 year old female. Ask Date: 2021/05/10

Dr. Du Shixi reply Urology


Hello: Cancer can grow larger, and if you prefer not to seek medical treatment, you can closely monitor it.
If there are any changes, you should seek medical attention immediately.
Of course, it is safer to visit a urology department at a major hospital for confirmation when you have the opportunity.
Wishing you good health.

Reply Date: 2021/05/10

More Info


When it comes to hard lumps on the testicles, it's essential to approach the situation with a clear understanding of the potential implications, including the risk of cancer. Testicular lumps can arise from various causes, and while some may be benign, others could indicate more serious conditions, including testicular cancer.

Testicular cancer is relatively rare, accounting for about 1% of all cancers in men, but it is the most common cancer in young men aged 15 to 35. The presence of a hard lump or swelling in the testicle is one of the most common symptoms associated with testicular cancer. However, it's crucial to note that not all hard lumps are cancerous. Conditions such as epididymal cysts, varicoceles, or even benign tumors can also present as hard lumps.

In your case, you mentioned that the hard lumps have been present for a long time. This is an important factor to consider. Testicular cancer typically presents as a new lump or swelling that develops relatively quickly. If the lumps have been stable and unchanged for an extended period, the likelihood of them being cancerous decreases, but it does not eliminate the need for further evaluation.

The best course of action is to consult a healthcare professional, preferably a urologist, who can perform a thorough examination. This may include a physical examination, ultrasound imaging, and possibly blood tests to check for tumor markers such as alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG), which can be elevated in cases of testicular cancer.

It's also worth noting that while the internet can provide a wealth of information, it can also lead to unnecessary anxiety. The risk of cancer associated with hard lumps on the testicle is not as straightforward as some online sources may suggest. Many men experience benign conditions that do not require aggressive treatment.
In summary, while hard lumps on the testicle can be a sign of testicular cancer, they can also be due to various benign conditions. The best approach is to seek medical advice for a proper diagnosis and peace of mind. Early detection and treatment are crucial for the best outcomes in any potential cancer diagnosis, so don't hesitate to reach out to a healthcare provider for further evaluation.

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