Testicular Lumps: Should You Worry About Cancer?

There is a hard lump on the left testicle..?

Hello Doctor, this evening while showering, I unexpectedly felt a hard lump on my left testicle, about the size of a potato.
It doesn't hurt, and pressing on the lump also doesn't cause any pain.
My ejaculation and urination are normal.
Is there a high likelihood of testicular cancer? If it doesn't cause any issues, is removal necessary? I really don't want to and am quite hesitant to see a urologist.
Could this be caused by having too many ejaculations recently? I would appreciate your advice and response.
Thank you!

Niming, 20~29 year old female. Ask Date: 2015/10/06

Dr. Xu Weikai reply Urology

Hello, if a mass is located in the testicle, there is a 90% chance it is malignant.
If it is in the tissues outside the testicle, the likelihood of malignancy is very low (less than 10%).
As for whether to seek medical attention, I will leave that to your judgment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to visit a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/10/06

More Info

When it comes to testicular lumps, it is essential to approach the situation with caution and awareness. The presence of a lump in the testicle, especially one that feels firm and is the size of a small potato, should not be ignored, even if it is painless. Testicular cancer, while relatively rare, is most common in younger men, particularly those between the ages of 15 and 35. The likelihood of having testicular cancer increases with certain risk factors, including a history of undescended testicles, family history of testicular cancer, and previous testicular cancer.

The fact that the lump is not painful and that you are experiencing normal urination and ejaculation is somewhat reassuring, but it does not eliminate the need for further evaluation. Testicular lumps can be caused by various conditions, including benign cysts, epididymal cysts, or even infections such as epididymitis. However, the possibility of cancer cannot be ruled out without proper medical assessment.

It is understandable to feel apprehensive about visiting a urologist, but it is crucial to prioritize your health. A urologist can perform a physical examination and may recommend an ultrasound of the testicle, which is a non-invasive imaging test that can help determine the nature of the lump. An ultrasound can differentiate between solid masses (which may require further investigation) and fluid-filled cysts (which are often benign).

If the ultrasound suggests that the lump is solid, a biopsy or surgical intervention may be necessary to obtain a definitive diagnosis. While the thought of surgery can be daunting, it is important to remember that early detection and treatment of testicular cancer can significantly improve outcomes. If cancer is diagnosed, treatment options typically include surgery to remove the affected testicle (orchiectomy), and depending on the stage, additional treatments such as chemotherapy or radiation may be recommended.

Regarding your concern about whether recent sexual activity could have caused the lump, it is unlikely that frequent ejaculation would lead to the formation of a testicular lump. However, stress and anxiety about the situation can exacerbate feelings of discomfort or concern. It is essential to address these feelings and seek support if needed.

In conclusion, while the lump may not be causing any immediate problems, it is vital to have it evaluated by a healthcare professional. Ignoring the lump could lead to delayed diagnosis and treatment if it turns out to be cancerous. I encourage you to schedule an appointment with a urologist as soon as possible to discuss your symptoms and undergo the necessary examinations. Taking this step can provide you with peace of mind and ensure that any potential issues are addressed promptly. Remember, your health is paramount, and seeking medical advice is a proactive approach to maintaining it.

Similar Q&A

Understanding Testicular Lumps: When to Worry About Cancer

Hello Dr. Du, I apologize for the interruption. Last night while showering, I noticed 2-3 small lumps in the area of the right testicle and epididymis that feel like acne. They cause slight pain when pressed. I am concerned whether this could be testicular cancer, and I would app...

Dr. Du Mingyi reply Urology
If it is on the skin, there is no need to worry; it is just a regular pimple. However, if it is internal, you should visit a urology clinic for evaluation.

Understanding Testicular Lumps: Should You Worry About Cancer?

Hello, doctor. When I was in the first year of high school, I discovered painless hard lumps on the right testicle (not just one, but many connected together), and these lumps are located above my testicle. I have not experienced any other abnormalities in my body. When I was in ...

Dr. Xu Wencang reply Urology
You can visit the outpatient clinic for examination.

Understanding Testicular Lumps: Should You Worry About Cancer?

Hello, doctor. I have several hard lumps on both of my testicles. My testicles are soft and elastic, and the lumps do not hurt when squeezed. They have been present for several years without any increase in size. Doctor, could this be testicular cancer? Do I need to go to the hos...

Dr. Du Shixi reply Urology
Hello: Testicular cancer tends to grow rapidly, but it is recommended to consult a urologist for examination. Wishing you good health.

Understanding Scrotal Lumps: Causes, Concerns, and Next Steps

Hello doctor, I recently noticed some lumps in my genital area that I am sure were not there before. Initially, I found one lump and didn't think much of it, but recently I discovered several more on my scrotum. I've heard that this could be a symptom of cancer, and I a...

Dr. Lin Hexing reply Urology
Hello: What you described as "the word" is unclear. I suggest you consult a urologist or dermatologist for an examination to determine the next steps. Don't immediately think of cancer upon discovering anything; it doesn't develop that quickly. Given your age,...