Testicular cancer. Role of primary care physicians in screening and education.

Cure rates for testicular cancer have improved dramatically over the years, but early diagnosis is still essential. Primary care physicians have a responsibility to include testicular examination as part of cancer screening and to educate young male patients about the frequency of testicular cancer in their age-group and on how to perform self-examination. A high index of suspicion and careful bimanual palpation are crucial in evaluation of complaints referable to the scrotum. Prompt urologic consultation must be obtained if a tumor is suspected.