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Hello. I'm Dr. Phil, licensed and practicing Internal Medicine Physician. Excellent service is my goal.
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hello there. I'm Dr. Phil. Can I ask your first name?
how are you doc
I'm good Mark. thanks for asking.
I'm sorry you have this issue. It is clearly causing you distress
Tell me more about the lump. how big? Tender? moveable?
It is on the upper back of the testicle?
or lower back?
i don't feel anything abnormal on the testicle itself
the lump or a mass is a part of the area that is behind the testicle itself. difficult to explain where it's exactly though
I have good news for you Mark.
One last question
Is it tender?
And have you had any testicular surgery or vasectomy?
depending on the way that i'd feel through the scrotum, it appears to be moving around a little
i don't think it's tender.
On the back of the testicle is a piece of tissue called the epididymus.
This is prone to forming cysts and things called spermatoceles. Which are like cysts.
If it is not growing on the testicle itself it is very unlikely to be cancer.
It is probably an epididymal cyst
I suggest an ultrasound to be sure but I highly doubt cancer
so these could be on bottom as well as on top of epydydiis?
The epididymus spans the entire length
of the testicle
so what to watch for is a lump that is definitely a part of a testicle?
You are 100% correct Mark.
so anything outside, regardless of how it feels, mostly likely is ok?
Now, to be 100% sure we need an ultrasound but what you are telling me is suggestive of a cyst
or most likely is not TC to be precise?
That is right Mark, most likely
Again to be fair, I can't examine you online but if you were in my office, I would say "well Mark, it's most likely nothing but we need an ultrasound to be sure"
i feel a bit better
That's good. I am reassured as well.
Can I answer more questions for you Mark?
if you were me, would you go thru the ultrasound or forget about this?
I would definitely get the ultrasound.
how soon do you think i should get one?
Testicular cancer, if found early is highly treatable. Nearly 100% cure rate.
within a week or two would be fine
Even somewhere like urgent care could set it up if you don't have a doctor
how long does it take to get the results?
within a couple days
do i need to go thru my GP or go directly to urologist?
Go through your GP. That will save time and money
he'll order the test?
so why not go to urologist? just curious
Not necessary. The urologist will do the exact same thing. He will order an ultrasound
No sense in seeing a specialist if they will do the same thing as your primary
thank you for your time
That's just my opinion on it.
i respect it
Thank you Mark.
Mark, can I answer more questions for you?
i think i'm ok. the bot***** *****ne is: as long as no lumps are attached to the actual testicles, i should be less worried?
Absolutely. That is the bot***** *****ne Mark
thank you SIr
But there is no way to tell for sure without a scan
You're welcome Mark
Mark, did I do excellent work for you today?
Thank you sir.
would you be so kind as to rate me as such? It is how I am credited for my work.