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How Can A Lump On The Testicle Be Treated?

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Posted on Thu, 2 Feb 2017
Question: I have a lump on my right testical and already had an ultrasound. The urologist says I have to have an operation and remove it, is that the best decision? Should we do a biopsy first or do I have any other options?
doctor
Answered by Dr. Endri Katro (13 minutes later)
Brief Answer:
Please follow up...

Detailed Answer:
Hello and thank you for asking HCM.

I read your medical reports and my answer is as follows:
- You have a lump in the ultrasound, elevated AFP (it is a tumor marker) higher than normal range

Our only option is to do the surgery. The testicle is one of the few organs that is forbiden to do a biopsy, due to risk on spreading the tumor. The only way to do the biopsy is only after we have removed it.

Your urologist gave you the best option and the best treatment for you in this case. So my opinion is to do the surgery. The biopsy will tell us what is this lump and if you need further treatment or not.

If you have any other question, please don't hesitate to contact me.

Wishing you good health .

Dr.Endri Katro


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Endri Katro (13 minutes later)
How much pain will I be in afterwards and for how long? What's the best pain meds to ask for? What's the risk of cancer and spreading?
doctor
Answered by Dr. Endri Katro (27 minutes later)
Brief Answer:
Follow up...

Detailed Answer:
If you are talking about the pain after the intervention, then you will not have much pain. With the use of analgesics like ibuprofen or paracetamol and opioids etc. you will feel no pain, or just a little pain.

Now, depending from the type of tumor (after surgery and biopsy are done) most of the types of the tumors takes a lot of time before spreading or the probabilities to be spread are minimal. But there are a few types that are more aggressive (it's only possible to comment on them after biopsy report).

Right now you need to do the surgery and the biopsy. It will give us all the needed information about the type of tumor.

Most of these tumors are 100 % curable if diagnosed in time and if it is treated in the right way,
eg. Seminoma is the least aggressive and it reacts really well to surgery and chemotherapy.

You should go ahead with the surgery. That is the best option. Most of the doctors will never do a biopsy of the lump alone because of the risk to your health. So trust me and your urologist when we say that surgery is the only and the best option right now.

Dr.Endri Katro

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Endri Katro (9 minutes later)
Ive seen some patients who needed chemo and instead changed their diet is that an option?
doctor
Answered by Dr. Endri Katro (23 minutes later)
Brief Answer:
Follow up..

Detailed Answer:
It depends only from the biopsys results if you need chemo or not.

The answer to your question is No. You can't replace the chemo with the diet. It is a huge mistake if people actually do that. No doctor will ever recommend replacing chemo with diet. Probably you will still make some changes in the diet while under chemo sessions.

For every question that you have, don't hesitate to contact me.

Dr.Endri Katro
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Endri Katro

General Surgeon

Practicing since :2009

Answered : 342 Questions

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How Can A Lump On The Testicle Be Treated?

Brief Answer: Please follow up... Detailed Answer: Hello and thank you for asking HCM. I read your medical reports and my answer is as follows: - You have a lump in the ultrasound, elevated AFP (it is a tumor marker) higher than normal range Our only option is to do the surgery. The testicle is one of the few organs that is forbiden to do a biopsy, due to risk on spreading the tumor. The only way to do the biopsy is only after we have removed it. Your urologist gave you the best option and the best treatment for you in this case. So my opinion is to do the surgery. The biopsy will tell us what is this lump and if you need further treatment or not. If you have any other question, please don't hesitate to contact me. Wishing you good health . Dr.Endri Katro