James Metz, MD
Abramson Cancer Center of the University of Pennsylvania
Last Modified: November 1, 2001
Most testicular cancers present with a mass in the scrotum that can be felt by the man. Sometimes patients present with a dull ache in the groin,abdomen, or testicle. Fortunately, testicular cancer is a highly curable disease, which makes screening very important. It is always better to catchcancer at an early stage of disease to obtain the best outcome.
Testicular self-examination is as important to men as breast self-examination is to women. Testicular self-examination should be performed on amonthly basis as recommended by the American Cancer Society. It is best performed after a warm shower because this is when the testes aremost descended and the scrotal skin is relaxed. This will allow for a more complete examination. Roll each testicle between the thumb andfingers. Feel for any lumps or nodules. You may feel the epididymis, which is a soft structure on the superior/posterior aspect of the testicle thatis involved in sperm storage and transport. If any abnormalities are felt, notify your physician so that a formal examination can be performed.