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Lump on the testicles - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   hi doctor, i did a self examination on my testicles and felt a small ball right above my left testicle. it is not on the testicle itself but it is attached to something that is attached to my left testicle. it is hard and doesnt cause pain it doesnt bother me at all and its like its not even there. the only way to find it is if you examine very carefully and thoroughly. what could this be?
Doctor :   Hi
Doctor :   It can be a small epidydymal cyst .
Doctor :   It is the commonest lump in testis .
User :   really!! i am so scared it might be something serious
Doctor :   No , there is nothing to worry.
User :   but my testicles do not hurt me at all. if i squeeze the little ball it hurts but only for a little while then it goes away it feels like a 3rd testicle
Doctor :   Other Possible causes if the testicle is not painful: 1.Hydrocele
2.Loop of bowel from a hernia
User :   there is some distance between it and my left testicle but the distance is little
User :   ive heard that if the lump is not on the testicle itself then it rules out cancer
Doctor :   But I would rule out hydrocele as it is fluidy and easily indentifiable
Doctor :   Yes i most of the cases .
Doctor :   May I know the exact size and consiistency ?
User :   it is like the size of a bb gun pellet and is hard and round
Doctor :   Ok.
Doctor :   I would go with either a epidydimal cyst or spermatocele or very rarely anything else by what you have described.
User :   ok. but i do not know how long it has been there i just found it but it was very hard to find
Doctor :   Ok. You have to get a small set of tests to evaluate what it can be
Doctor :   1. A proper physical examination is very important ; 2. Blood Test. This test will be looking for the serum blood markers, beta HCG and alpha-fetoprotein that indicate the presence of any tumor.
Doctor :   3. Ultrasound can show whether or not there are abnormalities in the scrotum. High frequency waves called a sonogram can show the presence of a testicular lump even when it is very small and undetectable by physical examination.
User :   well four days ago i was in the hospital and the doctor said im very healthy and he took blood tests from me and hasnt called back which is a good sign
Doctor :   These 3 tests are almost essential to rule out anything else ?
Doctor :   Ok,That is very encouraging. Do you know the list of tests that you went through.
User :   no. he just said he would take blood from me to get tested he didnt exactly say what he was testing for
Doctor :   Could you please enquire about the tests that he had run through ?
User :   yes
Doctor :   These are called tumor markers. The following 3 tumor markers are used to detect testicular cancer: 1.Alpha-fetoprotein (AFP).
2.Beta-human chorionic gonadotropin (β-hCG).
3.Lactate dehydrogenase (LDH).
User :   so is this something i should worry about? should i go get it checked? im really scared
Doctor :   If you have been since a long time and has not healed, i feel you should get these 3 tests done, if they are negative, then you have no cause to worry.
Doctor :   1. Blood tests 2. Ultrasound 3. Physical examination
User :   ok doctor thanks for your help
Doctor :   I still feel this is a simple epidydymal cyst but prevention is better.
User :   ok
Doctor :   Thank you for ocnsulting me
Doctor :   take cer'
Doctor :   bye for now
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