2 doctors weighed in:

29 yr old son 5 years post hodgkin's tx with surgery, chemo, rad. Developing discomfort and mild swelling in 1 testical. Fam doc says wait . Advice?

2 doctors weighed in
Dr. Liawaty Ho
Internal Medicine - Hematology & Oncology

In brief: Go to see oncologist

He should go to see his oncologist and get more testing-blood work and imaging studies.
He should get an ultrasound for the testes and make sure there is no testicular mass. Due to his history of hodgkin's- need to make sure there is no recurence disease to the testes. Also, due to his young age-also need to make sure to rule out condition like testicular cancer - etc. Don't wait-go to see onc.

In brief: Go to see oncologist

He should go to see his oncologist and get more testing-blood work and imaging studies.
He should get an ultrasound for the testes and make sure there is no testicular mass. Due to his history of hodgkin's- need to make sure there is no recurence disease to the testes. Also, due to his young age-also need to make sure to rule out condition like testicular cancer - etc. Don't wait-go to see onc.
Dr. Liawaty Ho
Dr. Liawaty Ho
Thank
Dr. Scott Diede
Pediatrics - Hematology & Oncology

In brief: Concerning...

If your son is having any other symptoms like fever, new lymph nodes, new bruising, shortness of breath while lying down, night sweats, unintentional weight loss, or new fatigue, i would get an ultrasound of his testicles now.
I would be worried about a 2nd cancer like non-hodgkin lymphoma rather than a relapse. If he is otherwise ok and swelling not worse, ok to wait perhaps a little.

In brief: Concerning...

If your son is having any other symptoms like fever, new lymph nodes, new bruising, shortness of breath while lying down, night sweats, unintentional weight loss, or new fatigue, i would get an ultrasound of his testicles now.
I would be worried about a 2nd cancer like non-hodgkin lymphoma rather than a relapse. If he is otherwise ok and swelling not worse, ok to wait perhaps a little.
Dr. Scott Diede
Dr. Scott Diede
Thank
1 comment
Dr. Liawaty Ho
although hodgkin's disease on the testes is not very well described- however some cases of testicular involvement of Hodgkin;s lymphoma have been reported.
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