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Urology (Expert Forum)
US diagnosis 2 cysts and calcification in testicle
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
US diagnosis 2 cysts and calcification in testicle
by patient123, Dec 04, 2005 12:00AM
Hi,
Because I have felt some dump pain when touching or slightly pressing my right testicle or spermatic cord, so my doctor sent refered me to an ultrasound. The sonographer wouldn't want to tell me what he found and said he would send the results to my doctor, but I was able to glance over his shoulder when he typed the results into my chart. What I was able to read was something like this: 2 cysts in right testicle, tiny calc on surface of right testicle, something about hydrocele and something about varicocele that "didn't meet all criteria".
When googling about "testicular cysts", I always end up on pages that talk about cancer. My questions now are, could there be more than one cyst inside a testicle? And what is a "tiny calc"? Would that be a calcification?
My symptoms are: blunt pain when touching right testicle (it's very sensitive), right testicle sometimes appears harder than the left one. And sometimes I can feel a little "pulling" sensation, especially when the scrotal sac is "contracted" (cremaster reflex), but never when it's "open".
Given the fact the results that I could glimpse didn't mention the word tumor or carcinoma, could cysts still suggest that or could it be possible the sonographer made a typo and wanted to type "tiny carc" instead of "tiny calc"? Could a carcinoma be diagnosed by just doing a sonogram?
Because I have felt some dump pain when touching or slightly pressing my right testicle or spermatic cord, so my doctor sent refered me to an ultrasound. The sonographer wouldn't want to tell me what he found and said he would send the results to my doctor, but I was able to glance over his shoulder when he typed the results into my chart. What I was able to read was something like this: 2 cysts in right testicle, tiny calc on surface of right testicle, something about hydrocele and something about varicocele that "didn't meet all criteria".
When googling about "testicular cysts", I always end up on pages that talk about cancer. My questions now are, could there be more than one cyst inside a testicle? And what is a "tiny calc"? Would that be a calcification?
My symptoms are: blunt pain when touching right testicle (it's very sensitive), right testicle sometimes appears harder than the left one. And sometimes I can feel a little "pulling" sensation, especially when the scrotal sac is "contracted" (cremaster reflex), but never when it's "open".
Given the fact the results that I could glimpse didn't mention the word tumor or carcinoma, could cysts still suggest that or could it be possible the sonographer made a typo and wanted to type "tiny carc" instead of "tiny calc"? Could a carcinoma be diagnosed by just doing a sonogram?
Doctor's Answer
by Kevin Pho, MD, Dec 05, 2005 12:00AM
, Dec 05, 2005 12:00AM
There are many other causes, other than cancer, that can lead to the symptoms. Cysts, hydroceles, or varicoceles are all benign casues of masses in the scrotum. It is possible to have more than one cyst in the scrotum.
Calcification is also possible from the interpretation you have given me. Cancer can be associated with this finding.
An official read from a radiologist should be considered. It should be possible to diagnose cancer from a scrotal ultrasound.
I would also consider urine tests to rule out infectious causes.
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.
kevinmd_b
Calcification is also possible from the interpretation you have given me. Cancer can be associated with this finding.
An official read from a radiologist should be considered. It should be possible to diagnose cancer from a scrotal ultrasound.
I would also consider urine tests to rule out infectious causes.
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.
kevinmd_b
