Dear David,
Testicular cancer is the most common solid tissue tumor in men your age (aside from skin cancer). Testicular cancer is very rare however. Many different abnormalities can occur in the scrotum. Infection of the epididymis or testicle can lead to pain and enlargement of these structures. Dilated veins (varicocele) can also present with enlargement of scrotal contents and pain. Cysts in the epididymis have a similar presentation. Testicular cancers are often painless masses.
When a person feels an abnormality on testicular self examination, then a visit to the physician is indicated. A history, physical examination, and urinalysis will be performed. From there, scrotal ultrasound examination is sometimes indicated.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
Sincerely;
HFHS M.D.-CK