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Dear James,
Any time a man, especially one as young as you, finds a testicular mass it is best evaluated by a physician, preferably a urologist. As a general rule, a mass involving the epididymis tends to be benign more often, and a mass involving the testicle is more likely malignant until proven otherwise. The location and the fact that you have pain also is more indicative of a benign and inflammatory or infectious process. Although, malignant testicular masses could be painful too.
At any rate, there is a higher incidence of testicular cancer in men between ages of 20 to 40. It is a curable cancer when caught early. It is best that you see your doctor as soon as possible.
This information is provided for general medical education 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 urban campuses by calling (1 800 653 6568).
Sincerely;
HFHS-M.D. BE
* Keyword:testicular mass