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51 year old have a nodule with pain on the testicle. Family history of cancer in groin area. Should be worried?

My husband 51 years old- says he has a nodule in his left testicle . He also has pain-he thinks it might be a hernia . His father had something cancerous in his groin area about 15 years ago. He received radiation therapy & beat it, however he since has died, not from the cancer but a stroke victim. I made an appt for my husband, do you think because his father had something similiar, my husband could have inherited this also?
Asked On : Fri, 4 Jan 2013
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General & Family Physician 's  Response
There can be various causes for a nodule or lump in testis including cancer.
Testicular cancer is the most common form of cancer in young men, mostly between the ages of 15 and 44. Since 1975, the incidence of testicular cancer has more than doubled. 

Family history of testicular cancer has long been recognized as a significant risk factor. It is still the strongest known risk factor for testicular germ cell tumors. Genetic effects have been estimated to account for about 25% of susceptibility to testicular cancer,putting it in third place with regard to heritability among all cancers. Having a brother with a testicular germ cell tumor increases a man´s risk 10 to 13-fold. This is higher than for any other cancer. Having a father with testicular cancer increases the risk 4-fold. 
I would advise you to consult a surgeon and get the relevant investigations like CT scan and testicular biopsy done to arrive at the diagnosis.
Answered: Fri, 4 Jan 2013
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