Scrotal Mass


A mass or lump within the testis can be a symptom of testis cancer. Sometimes pain in the testis is the initial symptom, and this pain is sometimes attributed to an injury. If pain is more than would be expected from the injury careful examination should be made for a mass within the testis.

Testis cancers can grow very rapidly and can spread to the abdomen or lungs, causing abdominal swelling or pain and even shortness of breath. Lymph nodes above the collar bone on the left can be enlarged and breasts may enlarge and be painful.

The testis proper is oval in shape and uniform in consistency. Any lump or firm area within the testis itself is suspicious for cancer. Sperm produced in the testis go through tubules to a structure on back of the testis that runs from one end to the other. This structure, the epididymis, contains the long, coiled tube that transmits sperm and adds nutrients. Lumps in the epididymis are common and are almost never cancer.

A careful examination by a urologist, sometimes supplemented by a scrotal ultrasound to visualize these structures, is often all that is required to be certain that cancer is not present

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Created: 3/15/2005

 

 
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