Glove Blk

Testicular cancer? help?

Well first off im a 20 year old blk male…I went to my doc about a month or 2 ago to tell about a small bump i found and he told me i was feeling one of the tubes or somnethin and he didnt feel the bump I was talking about, im pretty sure because he had gloves on…anyway, these last couple days ive been feeling really weird…like mild chest pain, mild Lower Back dull ache, and same in the groin and rear. I made another appointment to tell him about this, but the bump hasnt grown at all, does that mean anything? does this sound like TC? im just freakin out until i got back to the doctor
I had a blood test around that same time as the last appointment and everything came back fine…would cancer be detected in a regular blood test?

Men who develop lumps, swelling, or pain in the groin or scrotal area may be worried they have testicular cancer. Like other parts of the body, the testicles can be affected by certain conditions and diseases, which can lead to symptoms. The most common signs and symptoms in the testicles and scrotum are:

* lumps (masses)
* swelling
* pain

According to the symptoms that you provide, testicular cancer is unlikely. However, some conditions that affect the testicles can also cause a heavy or aching feeling in the lower abdomen, or can even cause nausea and vomiting.

Cancer is one possible cause of testicular symptoms, but more often these symptoms are caused by infection, injury, or something else. It is important to let your doctor know about any changes you notice in your testicles as soon as possible so that the cause can be found and treated, if needed. Other conditions (besides cancer) that affect the testicles can still be serious and require treatment. The most common non-cancer causes ar the followings:

Torsion (twisting) of the testicle: This happens most often in adolescent boys, but may occur later in life. When one of the testicles becomes twisted within the scrotum, it cuts off the blood supply to the testicle, epididymis, and other structures. This causes sudden, severe scrotal pain, along with swelling and redness. Nausea and vomiting may also occur. Testicular torsion can be diagnosed by ultrasound of the scrotum. If the torsion isn’t treated right away, the testicle can die and will have to be removed. The best chance of saving the testicle is to have surgery to untwist the testicle within about 6 hours.

Injury: Physical injury can cause immediate pain to the area, or may cause gradually developing pain and swelling later on as the scrotum fills with blood (known as a hematocele). Sometimes treatment may be needed to stop the bleeding, but the problem may get better on its own. Although testicular injury can be very painful, it is not a cause of cancer.

Infection: Infections in the scrotal area are usually caused by bacteria or viruses like epididymitis, which is a bacterial infection of the epididymis, the coiled tube next to each testicle that stores sperm. This infection can be sexually transmitted (especially in younger men), but it may also have other causes. Gradually developing pain and swelling on one side of the scrotum are common, and the pain may spread to the side or back. Pain when urinating is also common. Fever and a milky discharge from the penis are other possible symptoms. After treatment with antibiotics, the pain, swelling, and other symptoms should go away completely. If these problems continue, you need to return to your doctor.

Inflammation of the testicle(s)——orchitis, which can cause painful swelling in one or both of the testicles. Viral infections (like mumps) are common causes of orchitis. About 20% of men who contract mumps as an adult will get orchitis in one or both testicles. This was much more common before children started getting a vaccine against the mumps virus.

Hydrocele: Sometimes, a testicle can become enlarged because fluid has collected around it. This is called a hydrocele and is usually painless unless it grows to certain size. Sometimes the pain can spread to the lower abdomen or back. Hydroceles are usually harmless and rarely need treatment.

Varicocele: In this condition, the veins within the scrotum can get very large (dilate). This can cause enlargement and lumpiness around the testicle, which has been described as feeling like a “bag of worms.” It is usually painless, but may be associated with a feeling of heaviness in the scrotum. Varicoceles do not usually need to be treated.

Epididymal cyst/spermatocele: This is a fluid-filled sac similar to a hydrocele but containing sperm cells within the fluid. It is usually a small, painless mass in the scrotum that is not connected to the testicle. These cysts are very common, and rarely need to be treated.

Inguinal hernia: Hernias are caused by defects in the abdominal wall that allow structures in the abdomen (such as a piece of intestine) to enter the scrotum. People with an inguinal hernia may notice a slight lump or bulge in the groin or scrotum. The lump from a hernia may be more obvious when standing or lifting something heavy. It is sometimes painful, especially when straining to urinate or have bowel movement.

Most of the time a hernia isn’t dangerous. Things become more serious if a condition called strangulation develops. In strangulation, a part of the intestine becomes trapped in the groin, cutting of its blood supply. This causes severe pain, nausea, and vomiting. Strangulation must be surgically corrected right away to prevent serious complications.

Kidney stones: Kidney stones are small crystals that form in the kidneys and can become lodged in the tubes leading to the bladder. Pain is usually felt in the back or side, and may extend down to the scrotum. The pain can be intense, and is often accompanied by nausea and vomiting. Blood is often in the urine, although it may not be visible to the naked eye. Large stones may need to be removed using surgery or other procedures.

These are the more common causes of testicular symptoms, but they are not the only ones. Because it is hard to determine the actual cause based on symptoms alone, it is important to have any testicular or scrotal abnormality thoroughly looked at by a health care professional.

A regular blood test cannot reveal testicular cancer because it usually only measures substances such as sodium, potassium, calcium, phosphorus and blood sugar, as well as liver enzymes, bilirubin and creatinine. A regular blood test mainly provides information about how well organs such as your liver and kidneys are working. It can also detect diabetes. However, it tells nothing about your testicles.

You should also be aware that each normal testicle has an epididymis, which feels like a small bump on the upper or middle outer side of the testis. Normal testicles also contain blood vessels, supporting tissues, and tubes that conduct sperm. These can feel bumpy and sometimes men confuse these structures with cancer. If you still have doubts, ask your doctor to conduct an ultrasound test to examine the scrotum. This is an easy and painless way of finding out whether there is a tumor.

Hope the above information helps and good luck!

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