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are all tumors testicular cancer?

Are all tumors in the testicules cancer?
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replied February 24th, 2012
Hello and welcome to e health forum.

95 % of testicular masses of the testicles are usually of malignant nature. Rest of the lesions are of benign nature and include - Cysts (sebaceous, or epidermal cysts) ; hydrocele ; hematocele ; spermatoceles, which are usually originating from actual testicular tissue.

97 % of testicular cancers are germinal in origin, with seminoma being the most common, followed by embryonal cell carcinoma, teratoma and choriocarcinomas.

Actually a painless testicular mass is considered as cancer unless proven otherwise.

More generally, if a young adult or adolescent has a single enlarged testicle, which may or may not be painful, they may be indicative of testicular cancer. Other signs of malignant tumors include - lower abdominal or scrotal pain or heaviness in the scrotum ; Enlarged breasts (gynecomastia) – due to hormonal effects of beta-hCG ; and Low back pain.

The nature of any palpated lump in the scrotum is often evaluated by serological tests and a scrotal ultrasound, which can determine exact ‎location, size, and some characteristics of the lump, such as cystic vs solid, uniform vs heterogeneous, sharply ‎circumscribed or poorly defined.‎

If the tests confirm the suspicion, a radical inguinal orchiectomy is done to provide a histological ‎diagnosis which gives a conclusive diagnosis.

I hope this helps.

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