The incidence of testicular cancer is low, about 4 per 100,000 men, but it is the most common cancer of young men between ages 15 and 35. Although the testicular self-examination (TSE) has not been formally endorsed as a screen for testicular carcinoma, you may wish to teach your patient the TSE to enhance health awareness and self-care. When detected early, testicular carcinoma has an excellent prognosis. Risk factors include: cryptorchidism, which confers a high risk of testicular carcinoma in the undescended testicle; a history of carcinoma in the contralateral testicle; mumps orchitis; an inguinal hernia; and a hydrocele in childhood.
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