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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hard Lump In The Testicles With Pain

About two months ago, I started feeling an ache off-and-on in my left testicle. Recently, I noticed a sphere shaped, marble-sized mass. It's about as hard as my testicle.

This mass is a perfect sphere, not elongated. The mass is not connected to my testicle but seems to be attached to a tendon or cord like.

I am 45 years old, 5'9", weight 155 lbs with no history of cancer myself or in my family. I'm married and sexually active with my wife only.
Fri, 20 Mar 2015
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Pathologist and Microbiologist 's  Response
Hi! thanks for writing to us sharing your health concerns!

After going through the details of the testicular lump which followed off-and-on pain, marble-sized, perfectly spherical, hard and possibly attached to the epididymis not the testicle, I would like to suggest following possibilities according to my experience of needle biopsies and histopathology:

1. spermatocele

2. benign epididymal tumors like adenomatoid tumor, stromal nodules, fibroma etc

3. cystic lesions like retention cyst, mesothelial cyst

4. cysts due to blockage

5. infections like tuberculosis

6. tumor or cancerous pathology

In short, a hard lump must be investigated bu ultrasound and needle biopsy as this could be malignant; please see your doctor today for a close examination and the necessary steps...!

regards,
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Suggest Treatment For Hard Lump In The Testicles With Pain

Hi! thanks for writing to us sharing your health concerns! After going through the details of the testicular lump which followed off-and-on pain, marble-sized, perfectly spherical, hard and possibly attached to the epididymis not the testicle, I would like to suggest following possibilities according to my experience of needle biopsies and histopathology: 1. spermatocele 2. benign epididymal tumors like adenomatoid tumor, stromal nodules, fibroma etc 3. cystic lesions like retention cyst, mesothelial cyst 4. cysts due to blockage 5. infections like tuberculosis 6. tumor or cancerous pathology In short, a hard lump must be investigated bu ultrasound and needle biopsy as this could be malignant; please see your doctor today for a close examination and the necessary steps...! regards,