Mass screening for testicular cancer using physician-conducted scrotal examinations or scro-tal sonography is not indicated. Case finding by including a testicular examination as part of a male physical examination is recommended by the American Cancer Society and the National Cancer Institute. Self-screening by TSE may be effective, especially for patients at risk for testic-ular cancer, although educational efforts must also include and convey the potential value to the individual of such behavior. Awareness of testicular cancer and its signs and symptoms is abysmally poor in young men and undoubtedly contributes to the continued problem of delay in diagnosis. At a minimum, physicians must promote awareness so that men report to their physicians at the first sign or symptom of testic-ular pathology. Likewise, we must continue to promote education among health care providers.

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