Testicular Lumps: Symptoms and Concerns About Cancer

Testicular issues

Yesterday while taking a shower, I felt a long, raised area below my left testicle.
I can feel it when I pinch it with my thumb and index finger, but I can't really feel it with just one hand.
I'm not sure what it is.
Could it be testicular cancer? What are the symptoms of testicular cancer?

A-Bao, 10~19 year old female. Ask Date: 2003/09/09

Dr. Xu Weikai reply Urology

Based on my assessment, what you are feeling is likely the epididymis, which is a band-like structure located next to the testicle, with one on each side.
You may experience slight pain upon touching it.
However, for an accurate diagnosis, it is essential to consult a physician.
Testicular cancer typically presents as unilateral testicular enlargement that grows rapidly.
Sometimes, it may be accompanied by mild pain and a sensation of heaviness.

Reply Date: 2003/09/09

More Info

When it comes to testicular lumps, it's essential to approach the situation with caution and awareness. The discovery of a lump or any unusual change in the testicles can understandably cause concern, particularly regarding the possibility of testicular cancer.
Firstly, the lump you described as a "long strip-like protrusion" under your left testicle could be several things. It's important to note that not all lumps in the testicular area are cancerous. Common non-cancerous conditions include epididymal cysts, varicoceles (enlarged veins in the scrotum), or even a hydrocele (fluid accumulation around the testicle). However, it is crucial to have any new lump evaluated by a healthcare professional to determine its nature.

Testicular cancer typically presents with specific symptoms, which may include:
1. A lump or swelling in either testicle: This is often the first noticeable sign. The lump may be painless, and it can vary in size.

2. A feeling of heaviness in the scrotum: Some men report a sensation of weight or fullness in the scrotum.

3. Dull ache in the lower abdomen or groin: This discomfort can be persistent and may not be directly related to the lump.

4. Changes in the size or shape of the testicle: If one testicle appears larger or different in shape compared to the other, it should be examined.

5. Pain or discomfort: While many lumps are painless, some men may experience discomfort or pain in the affected testicle or surrounding area.

It's important to remember that testicular cancer is relatively rare, especially in younger men, but it is the most common cancer in males aged 15 to 35. The overall incidence is low, and many lumps are benign. However, if you notice any changes, it is advisable to consult a healthcare provider promptly. They may perform a physical examination and may recommend an ultrasound to assess the lump further.
In terms of diagnosis, if a lump is suspected to be cancerous, further tests such as blood tests to check for tumor markers (like AFP, HCG, and LDH) may be conducted, followed by imaging studies if necessary.
In conclusion, while the presence of a lump in the testicular area can be alarming, it is not always indicative of cancer. Many conditions can cause similar symptoms, and the best course of action is to seek medical evaluation. Early detection and treatment are crucial for the best outcomes, especially if cancer is involved. If you have any concerns about your symptoms or the lump you discovered, please do not hesitate to reach out to a healthcare professional for a thorough evaluation and peace of mind.

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