Test Results

Ultrasound results revealed a 5 cm in cross sectional diameter mass with increased vascularity on the inferior pole of the right kidney.  What is the next step in testing and treatment, and how soon to get started with it?

[Ketan K Badani]

If you have a solid testicular mass on ultrasound, then the next thing to do is to have a urologist examine you and likely have the mass removed to see what exactly it is.  A few other tests including blood test for different testis cancer markers (AFP, HCG, LDH) and a CT scan to look at lymph nodes can be done but removal is the next step.  Not all testicular masses are cancer, but we treat it that way until proven otherwise.  The pathologist will examine the mass under a microscope and report on the exact diagnosis.