<human>: My boyfriend is 32, wht. healthy man. He noticed a hard, pea sized lump on his testicle about a year ago and finally wants to take action. He does have a litttle pain that shots ups from the lump to his abdomin. His lower back lympnods he claims are swollen and also his neck glands. Whats our 1st step pls?
<bot>: Hi, Dear,Good afternoon. Thanks for your query to my ChatDoctor-virtual clinic.After in depth study of your query, In my opinion-this testicle tumor is-Teratoma Testis -stage iv- and needs confirmation by X-ray and FNAC biopsy tests/CATS scan / MRI. Treatment -as it has supraclavicular nodes indicating Stage IV-Chemotherapy is advised. I would advise-consultation by Medical Oncologists/ with Onco-Surgeon/ with Chest Surgeon, who as a team would give the best treatment to you. Hope this would relieve your worrisome query. Wellcome to Chat Doctor for more queries