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Urology (Expert Forum)
What are these?
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
What are these?
by Mitch, Jan 07, 2000 12:00AM
In my right testicle, I have noticed for a while now there have been 2 (or more) painless lumps about .5 cm in length that float throughout my scrotum. They are not attached to the testicle and therefore I don't believe that they are cancer. They don't hurt but when I play with them or squeeze them too hard, I get a dull ache. They seem to be attached to the epidydimus so I was wondering if they are epidydimal cysts. Does this sound likey or possible? Could they be anything else? Could they be cancer if they are not attached to the testicle? What should I do about them, and if they are edpidydimal cysts is it worth removing them as I am only 18.
Doctor's Answer
by HFHS M.D.-BL, Jan 11, 2000 12:00AM
Dear Mitch,
There are several different conditions that can give small “lumps” along the epididymis. One of the most common lesions is a spermatocele. Spermatoceles are small outpouchings along the epididymis at weak points similar to an aneurysm formation on a blood vessel. These lesions are exceedingly common, increasing with age and are identified incidentally in up to 30% of men undergoing high-resolution scrotal ultrasound. Spermatoceles are filled with sperm and only require surgery when they cause unremitting pain or they grow to an uncomfortably large size. Another possibility is a nontransilluminable epididymal mass known as adenomatoid tumors. They are benign masses that can be studied with ultrasound.
The likelihood that you have a malignant lesion of your epididymis is small. Malignant epididymal masses are very rare. One of the benign lesions that I have mentioned above is more likely. However you would benefit from a complete history and physical by a physician. An exam and discussion with a physician would help put your mind at rest and assure that you do not have a cancer of the testicle or epididymis present.
This information is provided for general medical educational 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.-BL
*keyword
There are several different conditions that can give small “lumps” along the epididymis. One of the most common lesions is a spermatocele. Spermatoceles are small outpouchings along the epididymis at weak points similar to an aneurysm formation on a blood vessel. These lesions are exceedingly common, increasing with age and are identified incidentally in up to 30% of men undergoing high-resolution scrotal ultrasound. Spermatoceles are filled with sperm and only require surgery when they cause unremitting pain or they grow to an uncomfortably large size. Another possibility is a nontransilluminable epididymal mass known as adenomatoid tumors. They are benign masses that can be studied with ultrasound.
The likelihood that you have a malignant lesion of your epididymis is small. Malignant epididymal masses are very rare. One of the benign lesions that I have mentioned above is more likely. However you would benefit from a complete history and physical by a physician. An exam and discussion with a physician would help put your mind at rest and assure that you do not have a cancer of the testicle or epididymis present.
This information is provided for general medical educational 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.-BL
*keyword
Member Comments
by John, Mar 07, 2000 12:00AM
To: Testicular Cancer
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To: Testicular Cancer
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To: Testicular Cancer
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To: Testicular Cancer
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