Hi all. I’m 26 and had an undescended right testicle repaired as infant. Two months ago, I found a painless hard lump at top of left test. It is surely connected and located about an eighth of an inch to the left of the joining of epiditymis. I had an ultrasound but it didn't find the lump. My urologist than said it was the appendix testes and that I should not worry. Since I have no pain I only want to know if this still sounds like a likely prognosis. I don't want to relax simply because it's an unlikely cancer.
Scrotal masses secondary to testicular causes consist of a tumor within the testicle or a testicular appendage. Some patients are even born with it. A testicular appendage can intermittently twist on its blood supply and cause pain and this is usually seen as a blue dot on the scrotum. To determine if the mass is inside the testicle, a physical exam and an ultrasound of the scrotum may be performed. A patient with a solid, firm, intra-testicular mass is testicular cancer until proven otherwise so if you don’t have anything like that, I think you can be more than sure that you don’t have cancer. Hope this info helps.