Small lump on left testicle

[btdhrob]

About ten months ago while doing a self exam I noticed a small lump on my left testicle. It is located on the front of my testicle almost at the very bottom.  Sometimes when I feel it it's about the size of a bb and sometimes it's slightly larger. The size has not changed since I first discovered it. I went to a physician tonight and after the exam he said everything felt perfectly normal but referred me to a urologist just to be sure. My question is if it was cancer would I be able to feel the lump every time I examine myself? Sometimes I feel the lump during a shower and sometimes it's not there. And sometimes I can feel it while I'm just standing around and other times I can't.

[Kevin Pho, MD]

Testicular cancers are usually firm, non-tender masses.  Depending on the size of the mass, it should be able to be felt on most occurances, although this is not guaranteed.

Other possible causes would be a cyst, hydrocele or varicocele.  These type of lesions are more fluid, and thus may not always be felt.

The next appropriate step would be a scrotal ultrasound which would be a reasonable first step that is pretty comprehensive.  

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.

Thanks,
Kevin, M.D.

[enzo13]

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