Berlin (dpa) – Younger people often assume they have no real risk of cancer until they reach retirement age, but this certainly isn't the case when it comes to testicular cancer, which primarily affects men between the ages of 20 and 40. Although it's one of the rarer types of cancer, certain men are at higher risk and those with a family history of the disease — such as where a father or brother has been diagnosed — are more likely to develop it. "Men with one or both testicles located in the abdominal cavity also have a higher risk, even after surgical treatment," explains urologist Axel Merseburger. The good news, Merseburger says, is that once detected, testicular cancer is curable in most cases. Men can take proactive steps to detect tumours early by performing a self-examination once a month. "Ideally, this should be done after a warm shower or bath, when the scrotal skin is more relaxed," advises Merseburger. To perform this self-examination, stand in front of a mirror and first check for any visible swelling or skin changes. Then, begin palpating. "Take one testicle at a time between the thumb and forefinger of both hands. Gently but thoroughly roll the testicle to examine its surface," Merseburger explains. A smooth surface with no hard areas is a good sign. The self-examination should also include checking the epididymis. "It is soft and curved, located at the top and back of the testicle," Merseburger says. If you notice this is thicker or harder, it’s important to consult a urologist promptly. "Even small, pea-sized lumps should be taken seriously," says Merseburger. Other warning signs include an enlarged or swollen testicle, a pulling sensation or a feeling of heaviness — especially if these symptoms persist. If a testicle feels unusually hard or soft, this should also be investigated. The following information is not intended for publication dpa/tmn rid yyzz n1 nhr/cja
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