Complete Guide on Testicular Mass

Self-examination for the testicular mass conducted while in the shower is one of the most common ways to discover mass.  If you feel something unusual, seek the help of a physician for a comprehensive analysis of your scrotal mass.  The doctor may perform a complete examination of your male genitalia and medical history to indicate the desired proper treatment and the diagnosis of the testicular mass.  Most are considered benign, often associated with Epididymitis, inguinal hernia, varicocele, spermatocele, and hydrocele. However, some cases can indicate a more severe medical condition, such as testicular cancer.

The Examination of the Testicular Mass

 Testicular mass treatment

The initial part of the examination will be performed on the penis.  It will be examined through touching and determine if there are any indurations or plaque; any sign of ulcers would also be inspected.  The urethral discharge will also be observed for symptoms of Chlamydia and Gonorrhea.  After that, the examination will be directed to the testes.  The tenderness, volume, and mass will be palpated.  Any testicular mass discovered on the testes will be trans-illuminated since the light will not pass through the solid tumor.  Other conditions such as hydrocele will show a red tone.  Epididymis, vas deferens, and spermatic cord will also be examined.  Finally, your inguinal canals will be observed for any sign of lymphomas and hydrocele.


The Treatment for the Testicular Mass

 Testicular Mass

If the doctor discovered an unusual mass in your testicle, it could be testicular cancer.  It is the most treatable type of cancerous cell, and it is a common condition for younger adults.  Orchiectomy will be the standard procedure if the doctor suspects that you have testicular cancer.  It is an invasive surgical procedure wherein a small incision will be made in your lower abdomen or groin area.  After the surgical process, the doctor may closely supervise your condition.  If the cancer cell starts to grow beyond your testicles, other types of treatment may follow.


The treatment you will be receiving will be contingent upon the type of your cancer cell and the stage.   It will begin with magnetic imaging such as ultrasound or CT scan for surveillance, followed by radiation therapy or chemotherapy.  There are also some severe cases when the doctor requires additional surgical procedures.  This procedure will involve some complications and added benefits.

Testicular cancer

Once you notice a change in the size of your testicle and you are feeling a particular pain, this type of symptom should not be dismissed. You should immediately set an appointment with your family doctor to examine the testicular mass.


Various Types of Treatment for Testicular Cancer


Over the past few years, there has been a great deal of attention towards the treatment of testicular cancer. Surgical procedures have been adjusted and modified. Most physicians are now well-aware about the best ways to perform radiation therapy and chemotherapy to treat this condition successfully. After you have been diagnosed with this condition and the cancer stage has been determined, the group of experts will discuss your treatment procedure.


Stages and Testicular Cancer Treatment


The types of treatment for testicular cancer will highly depend upon the stage and the type of your cancer. Pure Seminomas and Germ Tumors are normally treated in the same way, while the other types of cancer are treated differently.


Stage 1 (Seminomas and Germ Tumors)


Stages and Testicular Cancer Treatment

This type of cancer can be treated in most patients. The initial treatment will begin by removing the spermatic cord and testicle. Various types of testicular cancer treatment will follow after that.




Suppose the cancer cells have not spread beyond your testicle. In that case, the recommended option is to have it closely supervised by the doctor while performing various types of treatment for testicular cancer, such as chemo and radiation, should the cancer cell spread beyond your testicles. Close observation will include blood tests and physical exams and MRI, CT scan, or x-ray conducted every 3-6 months. No cancer treatment will be implemented if there is no prevalent sign of cancer spreading.


Radiation Therapy

 Stages and Testicular Cancer Treatment

The radiation will be focused in the para-aortic lymph node during the radiation therapy. It is due to the reason that Seminomas types of cancer cells are highly sensitive against radiation.   Only a nominal percentage of radiation should be used during the testicular cancer treatment




If the radiation therapy does not work, they may recommend chemotherapy. This treatment works as effectively as radiation therapy, wherein you will be provided with carboplatin after the surgical procedure.


Stage IS (Seminomas)

 Stages and Testicular Cancer Treatment

This is a very rare condition wherein the rate of the cancer cell is still relatively high after the testicle has been removed. It is also treated with radiation.


Stage 1 (The Non-Seminomas)


These cancer cells can be treated but with different types of treatment for testicular cancer to Seminomas. Like Seminomas, the initial treatment will be a surgical process followed by more close surveillance by the doctor to ensure that the cancer cell will not return. Should the condition persists, the doctor may conduct an RPLND process followed by chemotherapy. This procedure comes with certain complications, such as affecting your normal ejaculation.


For those who need additional information on the treatment for testicular cancer, especially the options that are not tackled in this article, be sure to keep posted on our next articles.


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