Prostate Cancer vs. Testicular Cancer: Do You Know the Difference?

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April 9, 2023
Prostate Cancer vs. Testicular Cancer

Prostate cancer and testicular cancer are two different diseases affecting the male reproductive system. These cancers occur in two different locations and commonly affect men at different stages of their life. Because of these differences, it’s important for ALL men to learn as much as they can so they can take the appropriate steps toward early detection. 

What is Prostate Cancer? 

Prostate cancer is cancer that occurs in the prostate, the small walnut-shaped gland in men that produces the seminal fluid that nourishes and transports sperm. It is the most common cancer with about 1 in 9 men being diagnosed with prostate cancer during his lifetime. 

Prostate cancer affects mostly older men, with an average diagnosis age of 65. Other risk factors include poor lifestyle habits, family history of prostate cancer, and race. African-American men are more at risk than men of other races. As with many other cancers, prostate cancer may cause no signs or symptoms in its early stages. 

More advanced cancer may cause signs and symptoms of prostate cancer include: 

  • Trouble urinating
  • Decreased force in the stream of urine
  • Blood in semen
  • Discomfort in the pelvic area
  • Erectile dysfunction
  • Bone pain

Prostate cancer that is detected early – when it has not spread past the prostate gland – has a better chance of being treated successfully. The American Cancer Society (ACS) recommends that men with no symptoms or family history begin prostate cancer screenings at the age of 50. Men at higher risk (African descent, family history of prostate cancer) should start screening at age 45. Men with two first-degree relatives (father/brother) who had prostate cancer at an early age should begin screening at age 40.

What is Testicular Cancer? 

Testicular cancer occurs in the testicles (testes), which are located inside the scrotum, a loose bag of skin underneath the penis. The testicles produce male sex hormones and sperm for reproduction.

Unlike prostate cancer, testicular cancer is rare, accounting for about 1% of all cancers in men. According to the American Cancer Society, about 1 in 250 men will develop testicular cancer during their lifetime. 

The average age of males when first diagnosed with testicular cancer is about 33. This is largely a disease of young and middle-aged men, but about 6% of cases occur in children and teens, and about 8% occur in men older than 55.. Men who have abnormal testicular development and men who have a family history of testicular cancer may also be at an increased risk. 

Signs and symptoms of testicular cancer that men should be aware of include: 

  • A lump or enlargement in either testicle
  • Pain or discomfort in the groin area
  • Testicle feels heavier than usual
  • Breast growth or soreness 
  • Low back pain
  • Early puberty in boys (under the age of 9)

Early detection remains the key to survival.

At this time, there is no way to prevent testicular cancer. However, it can be detected at its earliest stage during routine physical exams with your physician and self-examinations at home. While not all lumps are cancerous, if you find a lump in a testicle it is best to make an appointment to see your doctor immediately. 

Screening for Early Male Cancer Detection is Key

Remember, both cancers are highly treatable – but early detection remains the key to survival. To learn more about prostate cancer screenings, ask your doctor for information or get a referral to your local prostate specialists.

Originally posted in 2019, updated in 2024.

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