With early signs of testicular cancer, more than 90% of patients notice a painless lump or mass in a testicle. They may also have a feeling of heaviness in the scrotum or aching in the lower stomach. Enlargement of the scrotum or swelling is also common in testicular cancer.
There are patients who experience no symptoms whatsoever in the early states of testicular cancer and it may be found during a routing exam or when being tested for infertility.
There are certain types of testicular cancers, such as germ cell tumors, that can secrete high levels of HCG (human chorionic gonadotropin hormone), which stimulates development of the breasts. An uncommon sign of testicular cancer is breast growth, tenderness, or pain. Uncommon symptoms for testicular cancer patients is breast tenderness or breast growth. This symptom results from the abnormal secretion of HCG from certain types of testicular cancer.
Leydig cell tumors and Sertoli cell tumors are two types of cancer that may produce male sex hormones (androgens) or female sex hormones (estrogens). If there's an increase in estrogen it may decrease sex drive and increase breast growth, while an over production of androgen may cause excessive hair growth, or may cause no symptoms at all.
Only about 1/4 of testicular cancer patience experience any symptoms before diagnosis, even if the disease has spread to the back of the lower abdomen or lymph nodes. Pain in the lower back is frequently a symptom of later states of testicular cancer. Shortness of breath, chest pain, and/or coughing up blood (hemoptysis) may develop if the cancer has spread to the lungs.
The signs of testicular cancer discussed above may also be caused conditions such as a testicular infection or testicular injury. For example, orchitis causes a painful swelling of the testicles that's caused by a bacterial or viral infection. There's a one in five chance that men who contract mumps as an adult may get orchitis.
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