Your doctor will ask you about your symptoms, and health and family history. The testicles and nearby structures will be fully checked. Your doctor will look for other causes of the problems you’re having.
You will need more tests if your doctor thinks you have problems or finds something during the exam. Tests can help find cancer or other problems such as epididymitis. These may be:
During a radical inguinal orchiectomy, a testicle is removed. It's then sent to a lab for testing. In most cases, testicles with masses seen on ultrasound are removed though the groin rather than the scrotum. This helps lower the chances of any cancer spreading. Once it’s been tested, the stage of cancer can be found.
If cancer is found, results from all your tests will help find out what stage it's in. The stage is based on how the cancer looks in a lab. It will help your doctors come up with ways to treat it. The stage of cancer is based on where it’s found and how far it’s spread.
Tests that may help with cancer stage are:
These may be involved:
Testicular cancer is staged from 0-3:
How is testicular cancer diagnosed? Urology Care Foundation website. Available at: https://www.urologyhealth.org/urologic-conditions/testicular-cancer/diagnosis. Accessed October 30, 2018.
Stages of testicular cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/testicular/patient/testicular-treatment-pdq#section/_26. Updated October 26, 2018. Accessed October 30, 2018.
Tests for testicular cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/testicular-cancer/detection-diagnosis-staging/how-diagnosed.html. Updated May 17, 2018. Accessed October 30, 2018.
Testicular cancer. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T907377/Testicular-cancer. Updated July 6, 2018. Accessed October 30, 2018.
Testicular cancer. Merck Manual Professional Version. Available at: https://www.merckmanuals.com/professional/genitourinary-disorders/genitourinary-cancer/testicular-cancer. Updated October 2017. Accessed October 30, 2018.
9/6/2016 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T907377/Testicular-cancer: Yacoub JH, Aytekin O, Allen BC, et al. ACR Appropriateness Criteria for staging of testicular malignancy. Available at: https://acsearch.acr.org/docs/69375/Narrative.
Last reviewed September 2018 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP Last Updated: 10/30/2018