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The incidence of testicular cancer, the most common solid tumor in men 20 to 34 years old, is on the rise. Advances in chemotherapy have made testicular cancer a potentially curable disease; however, delays in diagnosis greatly decrease the chances of survival. Cole reports two cases of delayed diagnosis in which the patients presented with low back pain.
A 17-year-old boy reported severe low back pain that worsened over the course of one month; it was diagnosed as a slipped disk. The pain worsened over the next month, and weakness and numbness developed in his left thigh. During hospitalization for a course of traction, scrotum examination revealed a hard mass in his left testicle. The cancer was successfully treated with chemotherapy and s…