Cancer of the Testicle (cont.)
Symptoms and Signs
Most testicular cancers are discovered by the man himself when he notices a painless swelling (58%), lump (27%), or pain (33%) in a testicle.
- The lump may be small (the size of a pea) or large (the size of marble or even larger).
- Less common symptoms include a lasting ache or sensation of heaviness in the testicle.
- Significant shrinking of a testicle or a hardness of the testicle are other less common symptoms.
- Occasionally, a dull ache or fullness in the abdomen, pelvis, or groin is the only symptom.
- Rarely, the first symptom may be breast tenderness (3%), a result of hormonal changes brought on by the cancer.
Changes in the testicle can be detected early by practicing monthly testicular self-examination. Self-exam is easy to do.
is key to recognizing testicular cancer early. Males older than 18 years of age should
be encouraged to perform monthly inspections of each testicle. Notify your health-care provider about any suspicious finding or concern.
Steven C Campbell, MD, PhD
Scott H Plantz, MD, FAAEM
Francisco Talavera, PharmD, PhD
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