4th Floor 18 St Cross Street, London, EC1N 8UN 0800 1932273
Overview & symptoms Causes Tests & next steps Treatment Help & support
Testicular cancer overview symptoms
Testicular Cancer · Overview

About Testicular Cancer and Its Symptoms

? 5 min readReviewed: March 2024
Key Points
  • Testicular cancer is cancer found in the testicles
  • It's most common in men aged 15 to 49, and can affect anyone with testicles
  • How serious it is depends on the type, size, and whether it's spread
  • A lump or swelling in a testicle is often the first sign
  • Checking your testicles regularly helps you notice any changes

About Testicular Cancer

Testicular cancer is cancer found in the testicles — the two small, oval-shaped organs that hang below the penis in the scrotum, and which produce sperm and testosterone. It's most common in men aged 15 to 49, though anyone with testicles can develop it. How serious it is depends on the type of testicular cancer, its size, and whether it's spread elsewhere in the body.

Symptoms

Testicular cancer usually only affects one testicle, though rarely both can be affected. Symptoms include a lump or swelling in the testicle, the testicle getting bigger, an ache or pain in the testicle or scrotum, and the scrotum feeling heavy, firm or hard. Other symptoms can include an ache or pain in the back or lower tummy, losing weight without trying, a cough, difficulty breathing or swallowing, or a sore or swollen chest.

It's worth checking your testicles regularly so you know what's normal for you, making it easier to notice any changes in their size, look, or feel.

Seeing a GP

See a GP if you have a lump or swelling on one or both testicles, a testicle getting bigger, a scrotum that feels heavy, firm or hard, an ache or pain in the scrotum or testicles, or any change that isn't normal for you. These symptoms are common and often have causes other than cancer, but it's important to get them checked — if cancer is the cause, catching it early generally makes it easier to treat.

A GP will ask about your symptoms and general health, and examine your testicles and the lymph nodes at the top of your legs. If they think your symptoms could suggest cancer, they'll arrange an urgent referral for further tests or a specialist opinion — this doesn't necessarily mean you have cancer.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027
Testicular cancer causes risk factors
Testicular Cancer · Causes

Who's More Likely to Get Testicular Cancer

? 3 min readReviewed: March 2024

Risk Factors

Testicular cancer mostly affects men aged 15 to 49, though anyone with testicles can develop it. It isn't always clear what causes it, but you may be more likely to get it if you have or previously had undescended testicles (where one or both testicles don't drop into their usual place in the scrotum), if your brother or father has had testicular cancer, if you've had testicular cancer before, if you have or had a condition called hypospadias (where the opening for urine and sperm isn't at the tip of the penis), if you have HIV or AIDS, or if you're from a white British background.

It's important to get any symptoms of testicular cancer checked by a GP.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027
Testicular cancer tests diagnosis staging
Testicular Cancer · Tests & Next Steps

Tests, Diagnosis and Next Steps

? 5 min readReviewed: March 2024

Main Tests

If a GP refers you to a specialist, you may need further tests and scans to check for testicular cancer, including blood tests and an ultrasound scan of the testicles.

Getting Your Results

Results can take a few weeks to come through — try not to worry if this takes a while, since it doesn't necessarily mean anything is wrong, and you can contact the hospital or GP for an update if you're anxious. A specialist will explain what your results mean and what happens next, and it can help to bring someone along for support.

If You're Told You Have Testicular Cancer

Being told you have testicular cancer can feel overwhelming, and it's natural to feel anxious about what comes next. A team of specialists will support you throughout diagnosis, treatment, and beyond, including a clinical nurse specialist as your main point of contact — you can ask them any questions you have. Macmillan Cancer Support runs a free helpline, open every day from 8am to 8pm, if you'd like someone to talk to.

Further Tests and Staging

If you're diagnosed, you'll usually need further tests to help determine the size of the cancer and whether it's spread (known as the stage). You'll have surgery to remove the affected testicle (or rarely just part of it) so it can be examined — this is also the main treatment for testicular cancer. You may also have a CT or MRI scan. Your specialists will use all these results, working with you to agree the best treatment plan for your situation.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027
Testicular cancer treatment surgery chemotherapy
Testicular Cancer · Treatment

Treatment Options

? 5 min readReviewed: March 2024

Overview of Treatment

Testicular cancer is often treatable, with the right approach depending on the size and type of cancer, whether it's spread, and your general health. Treatment usually includes surgery to remove the testicle, sometimes alongside chemotherapy or radiotherapy. Your specialist team will explain the treatments, benefits and side effects, work with you to build a treatment plan suited to you, and discuss any impact on fertility — you'll have regular check-ups during and after treatment, and should speak to your team about any worrying symptoms without waiting for your next appointment.

Surgery

Surgery to remove the testicle (orchidectomy) is the main treatment, and may be the only treatment needed — you'll usually be offered the choice of having an artificial testicle fitted. Rarely, only part of the testicle needs removing (partial orchidectomy). Surgery may also be used to remove lymph nodes in the tummy if the cancer has or might have spread there, or on the lungs if it's spread there too.

Chemotherapy and Radiotherapy

Chemotherapy uses medicines to kill cancer cells, and may be used after surgery to help prevent the cancer returning, or if it's already come back or spread elsewhere. Radiotherapy uses high-energy radiation to kill cancer cells, and may be used for certain types of testicular cancer that have spread to lymph nodes in the tummy.

Storing Sperm Before Treatment

Some treatments, particularly chemotherapy, can affect fertility, so before starting treatment you'll be offered the option to collect and store sperm (sperm banking), which can later be used in fertility treatment if needed. Having a testicle removed doesn't usually affect fertility on its own.

If the Cancer Can't Be Cured

Advanced testicular cancer can sometimes be very difficult to treat, and it may not be possible to cure it. In this situation, treatment aims to limit the cancer and its symptoms and help you live as well as possible for as long as possible. This can be very hard news to receive — you'll be referred to a palliative or symptom control team, who'll help manage your symptoms, keep you comfortable, and support you and your loved ones.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027
Testicular cancer support charities helplines
Testicular Cancer · Help & Support

Getting Help and Support

? 4 min readReviewed: March 2024

Your Specialist Team

You and your loved ones will be supported throughout treatment by a team of specialists — your clinical nurse specialist, or another team member, can point you towards helpful local support services.

National Charities

Several UK charities offer information and support for anyone affected by testicular cancer. Cancer Research UK (cancerresearchuk.org, nurse helpline 0808 800 4040) offers a nurse helpline, an online chat forum, and information on clinical trials. Macmillan Cancer Support (macmillan.org.uk, helpline 0808 808 0000) offers a support line, an online community, and help finding local services. Marie Curie (mariecurie.org.uk, helpline 0800 090 2309) provides care and support for anyone affected by a terminal illness. Orchid (orchid-cancer.org.uk, helpline 0808 802 0010) offers support specifically for testicular, penile and prostate cancer. Testicular Cancer UK (testicularcanceruk.com) offers information and a dedicated support group for anyone affected.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027