Siddhart Jai Singh (Urologist)

Testicular Cancer Symptoms, Causes, Treatment and Care by Dr. Siddharth Jai Singh

Testicular Cancer Symptoms, Causes, Treatment and Care by Dr. Siddharth Jai Singh

A lump can be serious. Sometimes a lump doesn’t amount to anything. Other times, a lump could be a symptom of testicular cancer. Learning what to look for could save your life.

Testicular Cancer starts in the testicles. It is a type of testicular malignancy. It mostly affects young men. The good news? It is highly treatable. Especially when caught early.

 

It may sound scary. But awareness changes everything.

What is Testicular Cancer?

Testicular cancer is a cancer that occurs in one or both testes. Testes are organs that are part of the male reproductive system and produce male hormones and semen. There are two oval shaped organs located in a sac called the scrotum, which hangs behind the penis. You can develop cancer in either one or both of your testicles.

 

Testicular cancer is the most common malignancy in men aged 15 to 45 years and represents one of the most common curable malignancies when identified promptly and treated with a multimodal approach. It represents 1% of male tumors and 5% of urological malignancies. 

What are the Types of Testicular Cancer?

Testicular Cancer isn’t just one type. Doctors divide it into two main groups. Knowing the type helps plan treatment.

1. Germ Cell Tumours

These are the most common types. Over 90% of cases fall here. They start in sperm-producing cells. This group has two main types.

Seminoma
This type grows slowly. It usually affects men aged 25 to 45. It responds very well to treatment. Radiation therapy works effectively here.

Non-Seminoma
This type grows faster. It’s more common in younger men. It includes several sub-types:

  • Embryonal carcinoma
  • Yolk sac tumor
  • Choriocarcinoma
  • Teratoma

Non-seminomas often need chemotherapy. Sometimes a mix of treatments is used.

2. Stromal Tumours

These are rare types. They start in the supporting tissue. Not in the sperm-producing cells. Two types fall under this group.

 

Leydig Cell Tumours
These cells produce testosterone. Tumours here are usually non-cancerous. Surgery often treats them fully.

Sertoli Cell Tumours
These cells support sperm production. Tumours here are also rare. Most are non-cancerous, too.

What Causes Testicular Cancer?

Doctors don’t always know the exact cause. But certain factors raise the risk. Here are common Testicular Cancer causes:

Undescended testicle at birth
This is called cryptorchidism. The testicle does not descend into the scrotum and remains trapped within the abdomen. This significantly increases the risk of cancer in later life. Even if surgically corrected, there remains a small risk in future years.

Family history of testicular cancer
Genetics play a role here. If your father or brother had it, your risk increases. It doesn’t mean you’ll definitely get it. But awareness helps you stay alert.

Age between 15 and 40
This is the most common age group. Testicular Cancer rarely affects older men. Young men should not ignore symptoms. Early life stages carry higher risk.

Abnormal testicle development
Some men are born with this condition. The testicle doesn’t form properly. This includes conditions like Klinefelter syndrome. It can quietly raise cancer risk.

HIV infection in some cases
HIV weakens the immune system. A weak immune system can’t fight abnormal cells well. This slightly raises cancer risk. Regular health checks matter more in such cases.

Not everyone with these risks gets cancer. But it’s good to stay alert.

What Are the Symptoms of Testicular Cancer?

Spotting symptoms early is key. Watch out for these Testicular Cancer symptoms:

A lump in either testicle.
This is the most common sign. It’s often painless at first—even a small, pea-sized lump matters. Don’t wait for it to grow.

Swelling or heaviness in the scrotum.
One side may feel heavier than the other. The change can be sudden or slow. It may not hurt at all. Still, get it checked.

Dull ache in the lower belly or groin
This pain feels mild but constant. It may come and go. Many men ignore it as normal. But it shouldn’t be brushed aside.

Sudden fluid build-up in the scrotum
This is called a hydrocele. The scrotum looks swollen and full. It can happen quickly. A doctor can confirm the cause.

Pain or discomfort in a testicle.
 Pain levels vary from person to person. Some feel sharp pain. Others feel just mild discomfort. Either way, don’t ignore it.

Some men feel no pain at all. That’s why self-checks matter. A monthly check takes just two minutes.

How is Testicular Cancer Diagnosed?

Doctors use a few simple steps. First, a physical exam. Then, an ultrasound scan. Blood tests follow next. These check for tumour markers.

 

If results raise concern, more tests are done. A biopsy is rare here. Most diagnoses happen through scans and blood work.

 

Early diagnosis improves outcomes massively. So don’t delay a check-up.

Testicular Cancer Treatment Options

Treatment depends on the stage. There are several options for Testicular Cancer Treatment:

 

Surgery: This is the first step. Urologists remove the affected testicle. It’s called an orchiectomy. The other testicle still works fine. Fertility is usually not affected.

 

Radiation Therapy: This targets any leftover cancer cells. It’s common in certain types of testicular cancer.

 

Chemotherapy: Chemotherapy is used for advanced stages. It kills cancer cells throughout the body. Several cycles may be needed.

 

Surveillance: Sometimes, doctors just monitor closely. This is for early-stage, low-risk cases.

 

Each treatment plan is personal. Dr. Siddharth Jai Singh designs a plan for your specific case.

Life After Treatment

Most men recover well. Fertility often stays normal. Hormone levels usually remain stable, too. Regular follow-ups are important. They catch any return early.

 

It’s also important to get the emotional support that you need to get through the day. Speak with your doctor, speak with your family. Don’t give up, you are not in this alone.

Why Early Detection Matters

Testicular Cancer has one of the highest cure rates among cancers. But this depends on early action. A small lump today could be nothing. Or it could be everything. Either way, checking is free. Ignoring it is risky.

 

Don’t wait for pain. Don’t wait for swelling to grow. Get checked the moment something feels different.

Tips for Prevention and Awareness

While you can’t prevent all cases, you can stay alert:

 

  • Do monthly self-exams
  • Don’t ignore lumps or swelling
  • Get regular check-ups after 15 years of age
  • Share awareness with friends and family
  • Don’t fear the topic. Talk about it openly

Awareness saves lives. Silence doesn’t. Schedule your appointment today and get expert care you can trust.

Frequently Asked Questions (FAQs)

Q1. Is testicular cancer common in young men?

Yes, it's most common between ages 15 and 40.

Q2. Can testicular cancer be cured?

Yes, especially with early treatment. Survival rates are very high.

Q3. Does removing one testicle affect fertility?

Usually not. The other testicle compensates well.

Q4. Is a lump always cancer?

No, but every lump needs a check-up to be safe.

A Word of Encouragement

Being diagnosed with cancer feels big. But the good news is, Testicular cancer is now one of the most successfully treated cancers around. Many of the men diagnosed go on to enjoy life without any health problems to speak of. Technology and expertise today have really come into their own.  By placing your care with the right doctor, you will feel safe throughout the process.
Let’s address your health: Get checked out. If you discover an anomaly – lump, pain or swelling – seek advice.


Book a consultation with Dr. Siddharth Jai Singh today. Early detection is your best defence against Testicular Cancer. Your health cannot wait for “later.” Take the first step now -your future self will thank you.