Concerns About a Hard Lump on My Testicle: What Could It Be? - Urology

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I recently discovered a small, marble-like lump attached to my left testicle.
It feels round and hard to the touch.
I'm worried it might be testicular cancer.
Can you please help me understand what this could be? I'm studying in the UK and am currently in the middle of exams, but I'm really anxious about this.
Thank you, this is really troubling me and it's hard to focus on my studies.
Please help!

Gāo wán xiōng, 20~29 year old female. Ask Date: 2004/07/08

Dr. Cai Bingkun reply Urology


A normal scrotal physical examination typically reveals four structures: the testes, epididymis, spermatic cord, and vas deferens.
The scrotum is colloquially referred to as the "eight-treasure bag." The hard structure that the author refers to as being attached to the testis is likely the epididymis, which may be slightly inflamed (epididymitis).
Malignant tumors are rarely found in this area, excluding the testes.

Reply Date: 2004/07/08

More Info


It's understandable to feel anxious when you discover a lump on your testicle, especially when you're under the stress of exams. The first thing to note is that not all lumps or hard masses in the testicular area are indicative of cancer. However, it's crucial to take any changes in your body seriously and seek medical advice.

The lump you described as being hard, round, and attached to the testicle could be several things. One common possibility is a benign condition known as a spermatocele, which is a fluid-filled cyst that can develop in the epididymis (the tube that stores sperm). These cysts are usually painless and do not require treatment unless they cause discomfort or grow significantly.

Another possibility is a varicocele, which is an enlargement of the veins within the scrotum. This condition is also generally benign and can sometimes cause discomfort but is not typically associated with cancer.

However, it's essential to consider the possibility of testicular cancer, especially if the lump is new, hard, and does not move when you touch it. Testicular cancer is most common in younger men, typically between the ages of 15 and 35. Symptoms can include a lump or swelling in the testicle, a feeling of heaviness in the scrotum, or changes in the size or shape of the testicle.

Given your concerns, it is crucial to consult a healthcare professional as soon as possible. They will likely perform a physical examination and may recommend an ultrasound of the testicle to get a clearer picture of what the lump is. An ultrasound is a non-invasive imaging technique that can help differentiate between solid masses and fluid-filled cysts.

In the meantime, try to manage your anxiety by reminding yourself that many testicular lumps are benign. Avoid self-diagnosing based on information found online, as this can often lead to unnecessary worry. Instead, focus on preparing for your exams while also prioritizing your health by seeking medical attention.

If you experience any additional symptoms, such as pain, swelling, or changes in urination, make sure to mention these to your doctor. Early detection and treatment are key in managing any health concerns effectively.

In summary, while it’s natural to worry about a new lump on your testicle, many possibilities exist that are not cancerous. However, the best course of action is to consult a healthcare provider for an accurate diagnosis and peace of mind. Your health is important, and addressing this concern will allow you to focus better on your studies.

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