Our expert says:
Testicular lumps at your age need thorough investigation. Location of a lump does help in differentiating the nature of the swelling, but is a scientific guess at its best. The most important feature differentiating these swellings is wether they are fluid filled or solid. Fluid filled cystic swellings can either be a spermatocele, hydrorocele,
varicocele, or hernia. All of these can be better characterised on physical exam. Solid swellings on the other hand can be some kind of growth arising from testicle, epididimis or surrounding structures.
You need a detailed physical examination and possible scrotal ultrasound for the differential diagnosis. You definitely need to be seen by an urologist or an oncologist who can perform a physical examination and arrange for possible ultrasound and other blood tests for a definitive diagnosis.
Dr Elna McIntosh
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