The evaluation of testicular cancer begins with a history and physical exam.

Physical findings in a male with testicular cancer include:

• Testicular lump
• Testicular swelling
• Inguinal lymphadenopathy:
• Swollen lymph glands in the groin

Tests are necessary to make the diagnosis of testicular cancer.

Tests that may be used to evaluate testicular cancer include:

• Blood alpha-fetoprotein
• Human chorionic gonadotropin level

Other tests that may be used to evaluate testicular cancer include:

• Chest x-ray:
• Normal chest x-rays
• Chest x-rays showing cancer
• Ultrasound of the testicles
• Testicular scan
• CT scan of the abdomen
• Nuclear bone scan
• MRI scan of the abdomen