Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Question Title: Hard left testicle-Please answer ASAP

Forum: The Urology Forum
Topic: Testicular Cancer

Posted by Sally on August 04, 1999 at 15:23:39

My husband had a varacasele operation 5 years ago. While that operation the doctor in the middle east noticed that the left testicle was harder than the right one-but they were both the same size. The doctor asked if he was ever hit there. He answered "Yes-a few times. The doctor did not show much concern, he just took a piece of the left testicle and did a biopsy. It all checked out OK. He has not had a problem since-no discomfort, the testicle has not changed in any way since 1995. His sexual functions perform fine. The only thing is that once in a while it may be a little bit tender but not painfull.

He is now living in the USA. He went to get a physical in July of this year. We explained the situation to the doctor. He suggested that he go to a urologist and get is checked out just so we can keep a record here in the USA regarding the hard testicle.

We went to see a urologist and he suggested that we get a US and a CAT scan.

My question is if nothing has changed since he had it cheked out in 1995 and he does not feel anything, can anything be wrong.

Regards
Sally


Posted by HFHS M.D.-JS on August 11, 1999 at 13:14:02


=
Testicular tumors are the number 1 solid tumors detected in the age range of 20-35. The tumors are more common in the Caucasian population, Scandinavia, Germany and New Zealand report highest prevalence with the lowest in Africa, and Asia. Commonly the patient describes a hard mass of the testicle usually painless, if infection is suspected a trial of antibiotics is tried. when a mass is palpable and persistent an ultrasound can help evaluate the parenchyma of the testis. If there are calcifications or heterogeneity then it is probably a tumor. Serum tumor markers can also help detect testicular cancer. Prior to the operation to remove a suspected mass these tumor markers should be sent.

Trauma to the testicle can produce scarring which can make a testicle feel firm. If there is any concern an ultrasound and serum tumor markers can better help identify a tumor versus old scar. If you have further questions please consult your local physician

This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568)
Sincerely,
HFHS M.D.-JS
*keyword: testicular tumor.
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