TESTICULAR

EXAMINATION
Risk Factors for Testicular Cancer

● Age 20-34 (15-35)

● History of undescended testes
● Early puberty
● Family history
● White race
● Higher social class
● Obesity
● Never married or late marriage
Maternal use of oral contraceptives or diethylstilbestrol during
early pregnancy
Maternal abdominal/pelvic x-ray during pregnancy
Mother or sisters with breast cancer
Warning Signs for Cancer of the Testicle

1. A small, hard, painless lump-about the size of a pea

2. Feeling of heaviness in the testicle
3. Enlargement of the testicle
4. Change in how the testicle feels to the touch
5. Sudden accumulation of fluid/blood in the scrotum
6. Dull ache in the groin
7. Swelling or tenderness in other parts of the body (groin,
breast, neck)
Testicular Self-Examination
1. Perform after a warm bath/shower
2. Use both hands and start on right testicle
3. Place index and middle finger underneath testicle
4. Place thumb on top of testicle
5. GENTLY roll the testicle between thumbs and fingers
6. Check all sides of the right testicle and repeat procedure on left testicle
Find the epididymis on the top and back of each testicle.
7. Examine the testes in mirror while standing.
8. Look for unusual contours and swelling of testes (noting that one usually
hangs lower than the other)