Lump On Testicle And Possible Mistake On Radiology Report

[Cecil4452]

I am 35 and About a Week Ago I Found a Lump On My Right Testicle. I once had what Felt Like The Same Size Lump (Small Pea) On The Same Testicle a Little Over A Year Ago But It Went Away Before My Scheduled Ultrasound But I Went Anyway And It Came Back Normal. I Never Saw The Report Nor Found Out What It Was. This Time I Went To My GP and He Barely Looked At It OR Felt It But Sent Me For An Ultrasound. I went First Thing This Week. The Tech Was Doing It and Said He Did Not See  Anything So He Asked If I Could Point Out Where It Was. I Pushed The Right Testicle Up Into The Scrotal Sac Skin Area So That The Lump Protruded Out. He Scanned It And Saw It On The Screen He Said Not To Worry This Looks Like Calcium and it will be Benign. I wondered How He Could Know Since TC is So Rare And The Tech The Last Time I Went In Refused To Say A Word Or Answer My Question. So I was A Bit Relieved But Knew He Was Not A Radiologist So Before Celebrating I Would Wait For That Report. After I Left I Became  Concerned That Since I Pushed The Testicle Into The Scrotal Sac Skin So It Protruded Out So The Tech Could Take The Image It May Show Up Looking Like it was Attached To The Scrotal Sac Skin Not The Actual Right Testicle In Which It is Definately On and or In The Right Testicle as It Moves With It and if I Hold The Testicle In My Hand And Feel The Lump It Appears Firmly Attached or Part of the Right Testicle. Sometime I Feel Like I Can Hold The Testicle Down And Move The Lump Slightly But Then I Think I Catch The Testicle Moving also. Anyway I Picked Up The Report Myself as I Have Been Stressing and My GP Had The Report But Did Not Call Me so Rather Than Wait For The Whole Weekend And Continue Stressing I Went And Got it. The Report Says: Impression 1) No Evidence Of Testicular Torsion or Epididymitis 2.) Mild Right Hydrocele 3.) Small Left Epididymal Cysts (Two Small Cysts) 4.) A 7MM Calcification In The Right Interior Scrotal Wall. The First Three I Never Suspected Nor Know What they mean if you can Explain that but the Big Issue Is 4 Which is The Lump I Feel But If Scrotal Wall is What I Think Then My Fear of a Misunderstaning Of The Image I Explained Above Where I Pushed The Testicle Into The Scrotal Sac so the Tech Could Image It Made The Radiologist Interpret That The Lump is in The Sac and Not On or in The Right Testicle In Which I am Sure It is. It is not in My Scrotal Skin. Unless Right Inferior Scrotal Wall Means Part of And On The Right Testicle. Please Interpret The Impression and If That Means Cancer or Not. Can Calcification Be Cancer? Does It Make A Difference on Whether The Radiologist Thought Calcification Was On The Scrotal Wall or Would The Calicification Then Translate To Likely Being Cancer If It Is In Or On The Testicle? I Hear Calcification in The Scrotum If Not Cancer Now There Would Be a 40% Chance To Develope TC So Then If Not TC Now Then I will Have Worry About Developing Later. Should I get another Ultra Sound? Thanks!

[Kevin Pho, MD]

Interesting punctuation on the question.

If there was concern that the lump was cancerous, it would have made mention of it during the report.  

A hydrocele is a fluid collection in the penis, and is unlikely to lead to cancer.  Cysts also are unlikely to lead to cancer.

It is difficult to say what the calcification means, but again, unlikely to be related to, or lead to, testicular cancer.  This certainly can be discussed with your personal physician.

If there continues to be concern about cancer, one can consider biopsying the lesion, or consider a referral to a urologist.

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.
http://www.straightfromthedoc.com

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