When a man's symptoms suggest that there might be cancer in a testicle, a personal and family medical history is taken and a complete physical examination is conducted. In addition to checking general signs of health (temperature, pulse, blood pressure, and so on), the scrotum will be carefully examined. The patient will usually have an ultrasound, a chest x-ray, and blood and urine tests.
Testicular cancer is missed by the doctor the first time around almost 30% of the time. For this reason, if you have even the slightest doubt or lingering concern, you must follow up or ask to be seen by a urologist.
The only sure way to know whether cancer is present is for a pathologist to examine a sample of tissue under a microscope.

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