Testicular Cancer: When should one seek medical advice

By  , Expert Content
Dec 16, 2011

Testicular cancers are often found by patient himself either incidentally or when the person is being investigated for some other problem such as during routine physical exam, ultrasound test or biopsy for diagnosis of infertility. Most patients with testicular cancer in early stages are asymptomatic (without symptoms). Most testicular cancers are curable when diagnosed in the early stages. If you notice anything unusual about your testicles or have symptoms related to scrotum or testis, consult your doctor.

Consult a doctor if you have any of the following symptoms:

  • Painless lump or swelling of testicle: This is the presenting symptom of testicular cancer in more than ninety percent of patients.
  • Pain or feeling of heaviness in the scrotum: Some men may have a mild pain or feeling of heaviness in the scrotum due to the lump, but severe pain is rare.
  • Enlarged or swollen scrotum: Some cases with testicular cancer do not have a lump or mass in the testicle, but the whole testicle may be enlarged or swollen (without a lump).
  • Dull ache in the lower abdomen, back, or groin: Spread of testicular cancer to lymph nodes and other organs (called metastasis) may cause back pain, dull ache in the lower abdomen or groin.
  • Collection of fluid in the scrotum: Some men with testicular cancer may present with enlargement of the scrotum due to the collection of fluid.
  • Breast development or pain in breast: Testicular cancers may sometimes cause breast development or pain. Some testicular tumours such as germ cell tumours may secrete human chorionic gonadotropin hormone (HCG). If they secrete high levels of HCG, it can stimulate breast development and/or breast tenderness.

Who to consult

Some health professionals who can evaluate your symptoms include:

  • General physicians.
  • Family doctor.
  • Surgeon.
  • Assistants of physicians.
  • Internists.

These are some symptoms that may occur in a man with testicular cancer. If you have one or more of these symptoms, it does not mean that you have testicular cancer. Your doctor can evaluate you to diagnose the cause of your symptoms and treat them accordingly.



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