Lump in the testicle; Scrotal mass
A testicle lump is swelling or a growth (mass) in one or both testicles.
A testicle lump that does not hurt may be a sign of cancer. Most cases of testicular cancer occur in men ages 15 to 40. It can also occur at older or younger ages.
Possible causes of a painful scrotal mass include:
Possible causes if the scrotal mass is not painful:
Starting in puberty, men at risk for testicular cancer may be taught to do regular exams of their testicles. This includes men with:
If you have a lump in your testicle, tell your health care provider right away. A lump on the testicle may be the first sign of testicular cancer. Many men with testicular cancer have been given a wrong diagnosis. Therefore, it is important to go back to your provider if you have a lump that doesn't go away.
Call your provider right away if you notice any unexplained lumps or any other changes in your testicles.
Tests and treatments depend on the results of the physical exam. A scrotal ultrasound may be done to find the cause of the swelling.
Elder JS. Disorders and anomalies of the scrotal contents. In: Kliegman RM, St. GemeJW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 560.
Fadich A, Giorgianni SJ, Rovito MJ, et al. USPSTF testicular examination nomination-self-examinations and examinations in a clinical setting. Am J Mens Health. 2018;12(5):1510-1516. PMID: 29717912 pubmed.ncbi.nlm.nih.gov/29717912/.
Palmer LS, Palmer JS. Management of abnormalities of the external genitalia in boys. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 44.
Stephenson AJ, Gilligan TD. Neoplasms of the testis. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 76.BACK TO TOP
Review Date: 1/10/2021
Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2022 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.