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A scrotal ultrasound is usually the first step in diagnosing testicular cancer. It’s a painless procedure that gives a clear indication of whether a mass in the testicle is solid or filled with fluid. A fluid-filled lump is usually harmless. A more solid lump may signal that the swelling is cancerous. The next step is a blood test. Many testicular cancers make high levels of certain proteins called tumor markers such as HCG and alpha-fetoprotein (AFP), which are both associated with pregnancy. W
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