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Suggest treatment for lump in the right testicles

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Posted on Thu, 28 Jul 2016
Question: I have a lump on my right testicle
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Answered by Dr. Bonnie Berger-Durnbaugh (56 minutes later)
Brief Answer:
Information about testicular lump:

Detailed Answer:
Hello and welcome,

Lumps can happen in or on the surface of the scrotal sac that can be from a variety of causes. For example, a (benign) sebaceous cyst can happen in the skin of the scrotum. But if the lump feels like it is attached to the testicle, you should go in to have it evaluated, and I would not recommend waiting until end of July.

I suggest you get an appointment with your doctor tomorrow or early next week as your doctor may want to send you for an ultrasound or other imaging test to see what is going on.

As it is a holiday weekend, if you cannot get worked-in in the next few days, go to the urgent care (and make sure to request a physician there and refuse to see a physician's assistant or nurse practitioner for this). The doctor there may be able to tell by palpation, if the lump is fixed to the testicle or is moveable (less concerning) or not on the testicle (less concerning). And depending on his/her findings, you can then have your evaluation moved along more quickly. For example, if the urgent care doctor thinks it is something that needs further evaluation, you can then call your doctor's office and ask them to schedule whatever imaging study or biopsy is necessary. That way you don't have to wait as long.

Most testicular cancers occur in younger men (teens through thirties), but spermatocytic seminomas can happen in men in your age range. Again, though, a lump can be benign, but getting it evaluated promptly is always the best thing to do.

Make sure the doctor also orders the following blood tests which help diagnose testicular cancer:
Serum alpha-fetoprotein
Serum beta subunit of human chorionic gonadotropin (beta-hCG)
Lactate dehydrogenase (LDH)
Chemistry profile

I hope this information helps. Please let me know if I can provide further information.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest treatment for lump in the right testicles

Brief Answer: Information about testicular lump: Detailed Answer: Hello and welcome, Lumps can happen in or on the surface of the scrotal sac that can be from a variety of causes. For example, a (benign) sebaceous cyst can happen in the skin of the scrotum. But if the lump feels like it is attached to the testicle, you should go in to have it evaluated, and I would not recommend waiting until end of July. I suggest you get an appointment with your doctor tomorrow or early next week as your doctor may want to send you for an ultrasound or other imaging test to see what is going on. As it is a holiday weekend, if you cannot get worked-in in the next few days, go to the urgent care (and make sure to request a physician there and refuse to see a physician's assistant or nurse practitioner for this). The doctor there may be able to tell by palpation, if the lump is fixed to the testicle or is moveable (less concerning) or not on the testicle (less concerning). And depending on his/her findings, you can then have your evaluation moved along more quickly. For example, if the urgent care doctor thinks it is something that needs further evaluation, you can then call your doctor's office and ask them to schedule whatever imaging study or biopsy is necessary. That way you don't have to wait as long. Most testicular cancers occur in younger men (teens through thirties), but spermatocytic seminomas can happen in men in your age range. Again, though, a lump can be benign, but getting it evaluated promptly is always the best thing to do. Make sure the doctor also orders the following blood tests which help diagnose testicular cancer: Serum alpha-fetoprotein Serum beta subunit of human chorionic gonadotropin (beta-hCG) Lactate dehydrogenase (LDH) Chemistry profile I hope this information helps. Please let me know if I can provide further information.