Suggest Treatment For Lump On Testicle

Posted on Fri, 22 Jan 2016

Question: I have had this small lump on my right top testicle for many years, maybe 4-5. I first had it looked at, and was told to come back if it grew or got any unusual pain, but I never did. He never diagnosed it though. It seems more like a bubble that is hard, squeezing doesn't hurt just feels like i'm squeezing my testicle no more than that. Form what I saw this could be a spermatocele, that is what the pictures look the most like. Does that sound right? Plan on going to doctors next week, make sure no Cancer.

Answered by Dr. Vivek Chail (2 hours later)

Brief Answer:
It can be spermatocele or an epididymal cyst and requires ultrasound

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. It is probable that there is some fluid collection or a similar condition in the epididymis which is a structure found in the scrotum and separately from the testis. This can be a spermatocele and you are probably right. Other conditions can include a cyst in the epididymis or a small hydrocele.

2. A confirmed diagnosis requires an ultrasound scan and this will help to see clearly the area which is causing the lump. Therefore it looks like a benign cystic swelling to me.

3. Cancer is less likely is it is a small lump and been there for 5 years. Please get an ultrasound scan of scrotum next week and things will be confirmed.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar