BB size lump.

For the past few months now, if I remember correctly, I have had a hard, bb size lump that seems to be in my scrotum. The lump is not at all close to my either of my testicles; it is found much higher. It is a painless lump that does not have great range in motion. The bottom of it has a soft stem that feels almost like it is connected to the underside of my penis. The growth looks something like this:
   __
  /  \ <- Lump
  \__/
   \/
   ||  <- Stem

When I lift my scrotum and feel under it where the bb previously lied I find it is still there in the exact same place. This seems true regardless of the orientation of my scrotum. If I try to grip this bb I can sort of grab it but it is an elusive thing. From what I have read it doesn't describe testicular cancer due to the fact that it is not located on a testicle. This lump has never caused me any trouble by means of pain except when I obsess over it and mess with it too much; I am then left with a pain somewhat like being hit in the groin by a soccer ball which I attribute to the squeezing, etc. of the immediate vacinity.
If it helps I am 19 years old and am of general good health. I have had a history of substance abuse but there has been no use in the past 4 months. My father's side of the family has a history of cancer; my grandfather had bladder cancer and my 46 year old father has colon cancer that was removed but also attached itself to the prostate, which is being treated through radiation. I take medicines which include Lamictal and Zoloft for bipolar and Concerta for ADHD. Hopefully this information helps in diagnosis rather than being overwhelming.

[Kevin Pho, MD]

An ultrasound is recommended.  Cancer, cysts, thrombosed veins, or varicocele are all possible and can be evaluated by the imaging study.  

The question is whether the lump is superficial (i.e. just under the skin) or within the testicular.  The ultrasound will determine this.

This option should be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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