Testicular cancer or orchitis.
Hi, so around end of May I had painful testicle overnight with increase in sensitivity. Eventually after a week or 2 the pain and sensitivity subsided to tolerance of 0. However through the course of the following weeks my right testicle proceeded to increase in size compared ro my left with no pain. At first it was not noticeable but the density was off compared to my left. One felt firm and the other felt like liver i guess I could say (normal). I was in school and doing clinicals so I pushed it off since it wasn't painful.
I finished my clinicals and finally decided to schedule a visit after 1 to 2 months with this issue. So far have gotten an Ultrasound. bhcg, ldh, and AFP labs done. Ultrasound showed "heterogenous mass @ 6cm". Bhcg was normal, afp was normal, and ldh was at 1500 (exceedingly high). I followed up with a redraw post antibiotics and nsaids treatment of 2 weeks for ldh. Ldh dropped to 600 (normal reference range is about 100 to 300). Anyways I did a CT chest and abd w contrast. and they said they couldn't rule out metastasis as one of my lymph nodes "Aortacaval retroperitoneal lymph node" was 0.8cm. Which falls under oncology protocol. So couldn't rule out metastatic and am being referred to and will follow up with oncology and possibly a PET scan.
Since finishing the antibiotics my right testicle what used to be 6cm on ultrasound and based off of physical appearances has greatly reduced in size. Similar in size to my left testicle now. Its still slightly firm but I think its still taking a while to reduce back to regular density. Is it possible It was just a really bad case of inflammation from a prolonged untreated infection. my Urologist suspected a bad case of orchitis but still wanted to get all the scans done. Obviously which lymph node is slightly enlarged it doesnt tend to lean towards orchitis.
Orchiectomy is on the table but obviously, id rather keep it. I am doing a follow up now next week with my Urologist for another physical follow up.