What does it mean if there’s a small lump on the testicle?
Jun 10, 2022
Source: Cainiu Health
Dr. Luo Yong
Introduction
Epididymitis: If palpation reveals a tender nodule, it may indicate inflammation of the epididymis, often accompanied by a sensation of swelling and pain.
Testicular Tumor: The primary symptoms of testicular tumors include enlargement and increased firmness of the testicle. Benign tumors typically require no specific treatment—only regular follow-up examinations are necessary. Malignant tumors, however, necessitate surgical intervention.
Small lumps on the testicles may be associated with conditions such as epididymitis, testicular tumors, or epididymal tuberculosis.
① Epididymitis
The epididymis is a crescent-shaped organ attached to the testicle, comprising three parts: the head, body, and tail of the epididymis. Palpable hard nodules are commonly found in one of these regions and generally do not warrant excessive concern. However, if the nodule is tender upon palpation—often accompanied by swelling and pain—it may indicate epididymal inflammation.
② Testicular Tumor
The primary clinical manifestations of testicular tumors include testicular enlargement and increased firmness. On physical examination, the affected testicle often feels like a “stone” when grasped, is non-tender to squeezing, and may produce a sensation of heaviness or dragging. Prompt medical evaluation is essential for accurate diagnosis and subsequent targeted treatment. Benign tumors typically require no specific intervention other than regular follow-up examinations; malignant tumors, however, necessitate surgical management.
③ Epididymal Tuberculosis
In males, epididymal tuberculosis may present as bead-like, firm nodules within the testicle. This condition requires both anti-tubercular drug therapy and, in many cases, surgical excision. Additionally, patients with varicocele may experience palpable, tortuous, hardened veins in the scrotum—often requiring surgical correction.
