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Thank you for your trust in the past. Ray Schilling, MD
**Closure of my websites askdrray.com and nethealthbook.com**

These websites will be taken down on **April 30, 2025** and no further updates will be provided.
I hope you enjoyed the content of these websites. You can continue to read Dr. Schilling’s blogs which I publish daily on Quora

My home page there is: ** https://www.quora.com/profile/Ray-Schilling**

Click on this: Under my image there is a heading “Profile”. Right underneath this you find a search box entitled “search content”. Type in any term you are interested in. You will get several answers I have written (I have written more than 15,000 answers).

On Quora you can also write comments that I will answer.

Thank you for your trust in the past. Ray Schilling, MD
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Symptoms Of Testicular Cancer

One of the first symptoms of testicular cancer is usually a painless hard lump in one of the testicles, which is detected by the patient or the sexual partner.

There might be a feeling of heaviness or a dull, achy sensation in the lower abdomen on the same side as the mass or in the scrotum of the affected side.

In 10% of patients there is an acute testicular pain. Another 10% have symptoms from metastases such as acute lower back pain, gastrointestinal symptoms, lung problems or a neck mass.

In about 5% there might be swelling of the breast (= gynecomastia). The physician will examine the patient and look whether the testicle is moving freely within the scrotum on palpation.

Any hard mass or fixed area is suspicious. If in doubt about the structure, an ultrasonography examination should be ordered as this will help to rule out other medical conditions such as a hydrocele or epididymitis and confirm a testicular mass that is likely cancerous.

 

References:

1. Cancer: Principles &Practice of Oncology.4th edition. Edited by Vincent T. DeVita, Jr. et al. Lippincott, Philadelphia,PA, 1993. Chapter on Cancer of the Testis.

2. Cancer: Principles&Practice of Oncology. 5th edition, volume 1. Edited by Vincent T. DeVita, Jr. et al. Lippincott-Raven Publ., Philadelphia,PA, 1997. Chapter on Cancer of the Testis.

3. Votrin II et al. Drugs Exp Clin Res 2000;26(5-6):267-273.

4. B Aschhoff Drugs Exp Clin Res 2000;26(5-6):249-252.

5. Conn’s Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier

6. Ferri: Ferri’s Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc

Last modified: August 28, 2014

Disclaimer
This outline is only a teaching aid to patients and should stimulate you to ask the right questions when seeing your doctor. However, the responsibility of treatment stays in the hands of your doctor and you.