Concerns About Testicular Cancer: What You Need to Know

Q: Concerns About Testicular Cancer: What You Need to Know

Concern： Hello, 1. Testicular cancer, slightly hard, but not as hard as a stone. 2. It can be easily differentiated using ultrasound or CT scan. 3. It's unclear. It could be that, or it could be due to other reasons. 4. It's best to wait for the re

Do I have testicular cancer?

Hello Doctor, last week I noticed a difference in the size of my testicles; the right one is not only larger than the left but also much firmer, although it still has some elasticity and doesn't hurt too much—just a bit of soreness.
After I became concerned, I started to feel some pain even without touching it.
So, I visited a doctor yesterday, but after a brief examination, he didn't say much and arranged for a scrotal ultrasound.
After the ultrasound, he still didn't provide much information and ordered blood tests and a CT scan, asking me to return in two weeks for the results.
He didn't prescribe any medication.
After researching, I found that the blood tests are related to testicular cancer, which has made me very anxious.
I would like to ask the doctor:
1.
I've read online that testicular cancer can feel hard like a stone; does that mean it has no elasticity at all?
2.
Is it easy to differentiate between a spermatocele and testicular cancer?
3.
Could the soreness be related to my recent lack of ejaculation? Should I relieve myself?
4.
While waiting for the results, should I seek further examination at another hospital?
5.
Lastly, if I need to have a spermatocele removed or undergo surgery for testicular cancer, can that be done at a municipal hospital, or do I need to go to a larger hospital like National Taiwan University Hospital?
I apologize for asking so many questions, but I am so worried that I can't concentrate on anything...

danxin, 20~29 year old female. Ask Date: 2014/03/28

Dr. Xu Weikai reply Urology

Concern: Hello, 1.
Testicular cancer, slightly hard, but not as hard as a stone.
2.
It can be easily differentiated using ultrasound or CT scan.
3.
It's unclear.
It could be that, or it could be due to other reasons.
4.
It's best to wait for the report.
After reviewing the report, if there are any concerns, copy all the data and images and take them to another hospital for a second opinion.
If you go to a second hospital now, you will likely undergo repeated examinations, which could expose you to excessive radiation.
Of course, this would also waste medical resources.
5.
Scrotal surgery itself is quite simple and can generally be performed at regular hospitals; unless there is significant concern, there is no need to go to a medical center.
If it is confirmed to be malignant, then a referral to a specialized hospital can be made.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, you should seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/03/28

More Info

It’s understandable to feel anxious when experiencing changes in your body, especially concerning something as sensitive as testicular health. Let’s address your concerns regarding testicular cancer and related conditions.

1. Testicular Cancer Characteristics: Testicular cancer can present in various forms, and while some tumors may feel hard and lack elasticity, this is not a definitive characteristic. The texture of a tumor can vary, and not all tumors are rigid. A testicular mass that feels firm or hard, especially if it is different in size or shape compared to the other testicle, warrants further investigation. It’s good that you are being proactive by seeking medical attention.

2. Differentiating Between Conditions: A spermatocele (or spermatic cyst) and testicular cancer can sometimes be distinguished through physical examination and imaging studies like ultrasound. A spermatocele is typically a benign cyst that feels like a smooth, fluid-filled sac and is usually not associated with significant pain. In contrast, testicular cancer may present as a firm mass that is not tender. However, imaging and possibly further tests, such as blood tests for tumor markers (like AFP, hCG, and LDH), are essential for accurate diagnosis.

3. Pain and Sexual Activity: The discomfort you are experiencing could be related to various factors, including muscle strain, inflammation, or even anxiety about the situation. While sexual activity can relieve tension, it is not a treatment for any underlying medical condition. If the pain persists or worsens, it’s important to discuss this with your healthcare provider.

4. Seeking Additional Opinions: While waiting for your test results, it’s natural to feel anxious. If you feel that your concerns are not being adequately addressed, seeking a second opinion can be beneficial. However, it’s crucial to wait for the results of the tests your doctor has ordered, as they will provide valuable information for your diagnosis and treatment plan.

5. Surgical Options: If a spermatocele or testicular cancer is diagnosed, both conditions can typically be managed at a variety of hospitals, including municipal hospitals. However, for more complex cases, such as advanced testicular cancer, referral to a specialized center like a university hospital may be advisable. These centers often have more resources and specialists dedicated to oncology.

In conclusion, while it’s normal to feel anxious about potential health issues, it’s essential to focus on the facts and the steps you are taking. Continue to follow up with your healthcare provider, and don’t hesitate to ask questions or express your concerns. Remember, early detection and treatment are key in managing any health condition effectively. If you have further questions or need clarification on any aspect of your health, don’t hesitate to reach out to your doctor.

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