Definition

A testicular lesion needs prompt assessment to distinguish a tumour from cysts or other causes.

Symptoms

A lump, hardening, enlargement or heaviness, often painless.

How it may be discovered

Noticed by the patient or found on examination or ultrasound.

When to seek care

Seek prompt review for a new mass. Sudden testicular pain is an emergency.

Investigations and tests

Examination, scrotal ultrasound, blood tumour markers and staging when indicated.

Reaching a diagnosis

Normal markers do not exclude cancer. Surgical tissue usually confirms diagnosis; transscrotal needle biopsy is not the routine test.

Treatment options

Appropriate inguinal surgery, followed by surveillance or additional treatment. Fertility preservation is discussed beforehand when possible.

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