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The scrotum contains the male testes, the sex organs that produce and store semen as well as the hormone testosterone. A scrotal mass is a lump or bulge that can be felt in the scrotum. There are several kinds of scrotal masses:
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The cause of a scrotal mass depends on the condition, though an infection, injury or fluid buildup are all culprits.
Regarding testicular cancer, some issues may increase its probability. A family history of testicular cancer; the genetic disorder Klinefelter syndrome, which results in two or more X chromosomes; or an undescended testicle all can increase the probability of scrotal tumors.
The most common symptoms of scrotal masses include:
Many men detect scrotal masses during self-examination, though a physician may detect it during a routine physical exam. If a mass is found, the physician may recommend an ultrasound, or he/she might place a strong light behind the testicle to see whether light passes through. A testicular tumor is too solid, but light will pass through a mass or swelling caused by a hydrocele, which is fluid. The physician will also examine the other testicle for lumps, masses or other abnormalities.
Any mass should be screened. Because other problems can cause symptoms similar to those of testicular cancer, the physician may order tests to screen out other problems, or to be sure the cancer has not spread. These tests may include:
Depending on the condition, different treatments may be necessary: