Re: testicular cancer

Posted By HFHS M.D.-BE on January 24, 1999 at 11:14:39:

In Reply to: testicular cancer posted by Michael on January 19, 1999 at 22:15:23:






I have noticed that I have a small nodule about the size of a small pea in the head of the epidiymis of my left testicle.  The mass is painless and seems to be separated from the testicle.  Also, I've noticed that the spermatic cord on the same side is also enlarged.  Could this be a cancer that has invaded the epididymis or is this most like a benign mass such as a spermatocele.  Is this something that I should be concerned about?
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Dear Michael,
Anytime a man finds a lump--of any size--on his testicle(s), that does not resolve spontaneously, he needs to be evaluated by a physician.  Peak incidence of testicular cancer is between the ages of 20 and 40.  The usual presentation of a testicular tumor is a painless swelling or a nodule (small hard bump).  This may be noted incidentally by the patient or by a sexual partner, as well as during testicular examination. Usually they involve the testicle itself and only in 10% - 15% of cases do they spread to the epididymus or spermatic cord.  While we are talking about testicular cancer, it is not certain that this is your diagnosis, especially given the size and location of the bump you describe.  However, if it is indeed cancer, it is quite curable, especially when discovered and treated early on.  It is important for you to follow up with your physician, or a urologist, who will order an ultrasound study of the testicles/scrotum, if necessary.  Do not let fear nor false security keep you from making an appointment.  
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.-BE
*keyword: testicular CA