Testicular Concerns: What to Know About Lumps and Cancer Risks - Urology

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Testicular issues?


Hello, during a self-examination of my testicles while showering, I noticed a small hard bump about 1mm to 2mm in size near the connection of the right testicle to the epididymis.
It feels like a grain of sand, while the rest of the area is smooth.
I checked the same spot on the left testicle and did not find any similar bump.
I am unsure if this is normal, as I have been worried after researching testicular cancer online, where I found that some cases do not present as a single large mass but rather as multiple small lumps.
Currently, my testicle has not become hard or enlarged, but I did experience some dull pain in my right chest area recently, which makes me concerned about the possibility of testicular cancer.
Could this be an early sign of testicular cancer? I apologize for troubling the doctor with my questions.

You, 10~19 year old female. Ask Date: 2021/07/23

Dr. Du Shixi reply Urology


Hello: For your reference, testicular cancer is not very common.
Currently, if you feel something on your testicle, it is mostly benign, but it is still advisable to seek medical evaluation, especially if it is increasing in size.
Wishing you good health.

Reply Date: 2021/07/23

More Info


When it comes to testicular health, self-examination is an important practice that can help identify any unusual changes or lumps. The concern you have regarding the small, hard bump near your right testicle is understandable, especially given the prevalence of information about testicular cancer online. Let's break down your concerns and provide some clarity.

Firstly, it's important to note that the presence of a small, hard bump (1mm to 2mm) on the testicle or its surrounding areas can be due to various reasons, and not all of them are indicative of cancer. Common benign conditions include epididymal cysts, which are fluid-filled sacs that can develop in the epididymis (the coiled tube at the back of the testicle), or even small calcifications. These are generally harmless and do not require treatment unless they cause discomfort.

Testicular cancer typically presents as a lump or swelling in the testicle, but it can also manifest as a change in the size or shape of the testicle. It's worth noting that testicular cancer is most commonly diagnosed in younger men, particularly those between the ages of 15 and 35. However, the overall incidence is relatively low, and the majority of lumps found in the testicles are not cancerous.

Regarding your concern about the right chest pain you experienced, it's crucial to understand that while testicular cancer can sometimes lead to symptoms in other areas of the body (such as the chest), this is usually associated with more advanced stages of the disease. Chest pain can arise from a variety of non-cancerous conditions, including muscle strain, anxiety, or even gastrointestinal issues. If the pain persists or worsens, it would be wise to consult a healthcare professional for a thorough evaluation.

If you are worried about the possibility of testicular cancer, the best course of action is to schedule an appointment with a urologist. They can perform a physical examination and may recommend an ultrasound of the testicles. An ultrasound is a non-invasive imaging test that can provide detailed information about the structure of the testicles and help differentiate between benign and malignant conditions.

In summary, while your concerns are valid, the presence of a small bump does not automatically indicate cancer. Many benign conditions can present similarly. The key is to monitor any changes and seek medical advice if you notice any new symptoms or if the bump changes in size or texture. Regular self-examinations and prompt consultations with healthcare providers are essential for maintaining testicular health. Remember, early detection and intervention are crucial for any health concern, including cancer.

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