What disease is a lump above the spermatic cord?

Patient's question:

Above the spermatic cord to the inguinal region, there is a lump that has been present for ten years. Initially, it was only the size of a thumb, but now it has grown to nearly the size of an egg. However, it doesn't cause any pain. What could this be?
Follow-up question: This lump is immobile, and when pressed, it feels slightly full, but the pain is not obvious. The growth rate is relatively slow.

Doctor's answer:

Can it move? Will it hurt when pressed? How is the growth rate!
Pain in the spermatic vein may be caused by inflammation of the spermatic cord. Rest and avoid local compression or injury. A urological examination is necessary to confirm the diagnosis. If needed, an ultrasound may be performed. Anti-inflammatory medication should be used. It is recommended to follow a light diet, strengthen nutrition, rest, avoid strenuous exercise, and consider heat therapy. A formal urological examination in a hospital is advised to determine if the pain is caused by inflammation of the spermatic cord.
It is recommended to undergo a biopsy at a formal hospital!

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