Testicular Cancer in Dogs
- See your vet immediately if your dog has sudden testicular pain, rapid scrotal swelling, vomiting, weakness, or a retained testicle that becomes painful.
- Testicular tumors are most often found in older unneutered male dogs, and dogs with a retained testicle have a much higher cancer risk.
- Common tumor types are Sertoli cell tumors, seminomas, and interstitial (Leydig) cell tumors. Many are localized and treatable with surgery.
- Some dogs have no obvious signs. Others develop one enlarged or firm testicle, uneven testicle size, hair loss, enlarged nipples, or behavior changes caused by estrogen production.
- Diagnosis usually includes a physical exam, bloodwork, imaging, and confirmation by pathology after neuter surgery.
- Treatment options range from surgical removal alone to staging tests and oncology care if spread is suspected. Typical 2026 U.S. cost ranges run from about $400 for conservative surgery pathways to $6,500 or more for advanced staging and cancer treatment.
Overview
Testicular cancer in dogs usually refers to tumors that develop in one or both testicles. The three main types are Sertoli cell tumors, seminomas, and interstitial cell tumors. These tumors are seen most often in older, intact male dogs, especially if one or both testicles never descended into the scrotum. A retained testicle, called cryptorchidism, raises the risk of cancer and also increases the risk of torsion, which is painful and urgent.
Many testicular tumors stay localized, and some are found during a routine exam before a dog seems sick. That is one reason early evaluation matters. Dogs may have a firm lump, one testicle that looks larger than the other, or a swollen scrotum. Some tumors, especially Sertoli cell tumors, can make hormones that cause feminizing changes such as hair loss, enlarged mammary tissue, a pendulous prepuce, or attraction from other male dogs.
The good news is that many dogs do well when the problem is found early and treated with surgery. In many cases, neuter surgery removes the tumor completely. If your dog has a retained testicle, signs of hormone imbalance, or any new scrotal swelling, your vet may recommend imaging and lab work before surgery so the care plan matches your dog’s age, overall health, and cancer risk.
Signs & Symptoms
- One testicle larger than the other
- Firm lump or nodule in a testicle
- General scrotal swelling
- Retained testicle or only one visible testicle
- Testicular or groin pain
- Licking at the scrotum or groin
- Hair loss on both sides of the body
- Darkened skin or thin coat
- Enlarged nipples or mammary tissue in a male dog
- Squatting to urinate or other feminizing behavior changes
- Low energy or lethargy
- Reduced appetite or weight loss
- Pale gums
- Vomiting in advanced or complicated cases
Some dogs with testicular cancer have very subtle signs. In fact, a tumor may be found during a wellness exam before a pet parent notices anything at home. The most common visible change is one enlarged, firm, or irregular testicle. Dogs with longer hair coats can hide early swelling, so gentle monthly checks at home can help you notice asymmetry sooner.
Hormone-producing tumors can cause a different pattern of signs. Sertoli cell tumors may lead to excess estrogen, which can cause symmetrical hair loss, skin darkening, enlarged nipples, a pendulous prepuce, and behavior changes. In more severe cases, estrogen can suppress the bone marrow, which may lead to lethargy, weakness, and pale gums.
See your vet immediately if your dog has sudden severe pain, vomiting, collapse, or a rapidly swollen retained testicle. Those signs can overlap with torsion, infection, bleeding, or another urgent problem. Even when the swelling does not seem painful, a prompt exam is still important because nonpainful enlargement can be associated with cancer.
Diagnosis
Diagnosis starts with a hands-on exam. Your vet will feel both testicles, check whether one is missing from the scrotum, and look for signs of feminization or other illness. Basic testing often includes bloodwork and a urinalysis, especially in older dogs or dogs with hormone-related changes. If your dog seems anemic, weak, or systemically unwell, those findings can affect how quickly surgery should happen and what supportive care is needed first.
Imaging may include scrotal ultrasound, abdominal ultrasound, and chest X-rays. These tests help your vet look for a retained testicle, evaluate nearby lymph nodes, and check for evidence of spread. Metastasis is not common with many testicular tumors, but it can happen, so staging is more important when a retained testicle is involved, when the mass is large, or when your dog has weight loss, appetite changes, or other concerning signs.
A final diagnosis usually comes from pathology after surgical removal of the affected testicle or both testicles. That report identifies the tumor type and whether the tissue looks benign or malignant. In breeding dogs, your vet may discuss fine-needle sampling or biopsy in select cases, but surgery is still the most common path to both diagnosis and treatment.
Causes & Risk Factors
There is no single known cause of testicular cancer in dogs. Like many cancers, it likely develops from a mix of age, genetics, hormone influences, and chance cellular changes over time. What is clear is that intact male dogs are at risk because the testicular tissue remains in place, and risk rises with age.
Cryptorchidism is the most important known risk factor. Dogs with a retained testicle have a much higher chance of developing testicular tumors than dogs whose testicles descended normally. Retained testicles are also at risk for torsion. Because cryptorchidism has a hereditary basis, affected dogs should not be used for breeding, and your vet will usually recommend surgical removal of both testicles.
Breed predispositions have been reported, including Boxers, German Shepherds, Afghan Hounds, Weimaraners, Shetland Sheepdogs, Collies, and Maltese. Tumor type also matters. Sertoli cell tumors and seminomas are more associated with retained testicles, while interstitial cell tumors are often benign and less likely to spread. Even so, any new testicular change deserves an exam because appearance alone cannot confirm the tumor type.
Treatment Options
Spectrum of Care means you have options. Here are treatment tiers at different price points.
Conservative Care
- Physical exam
- Basic bloodwork, with or without urinalysis
- Routine neuter or cryptorchid neuter depending on testicle location
- Pathology on removed tissue when feasible
- Pain medication and home recovery instructions
Standard Care
- Comprehensive physical exam
- CBC, chemistry panel, and urinalysis
- Scrotal ultrasound or abdominal imaging when indicated
- Bilateral neuter or abdominal cryptorchid surgery
- Histopathology of the tumor
- Recheck visit and incision monitoring
Advanced Care
- Full staging with chest X-rays and abdominal ultrasound or CT
- Specialty surgery for retained abdominal testicle or complicated mass
- Expanded lab work and coagulation testing
- Hospitalization and supportive care if anemic or unstable
- Oncology consultation
- Chemotherapy or radiation in select metastatic cases
- Longer-term monitoring
Cost estimates as of 2026. Actual costs vary by location, clinic, and individual case.
Prevention
The most effective prevention step is timely neuter planning with your vet. Removing the testicles eliminates the tissue where these tumors develop. For dogs with cryptorchidism, surgery is especially important because retained testicles carry a much higher cancer risk and can also twist. Dogs with retained testicles should not be bred because the condition is inherited.
Prevention is not only about surgery timing. Routine wellness exams matter because many dogs show few signs early on. If your dog is intact, monthly at-home checks for symmetry, swelling, or firmness can help you catch changes sooner. Bring up any new lump, scrotal enlargement, or hormone-related skin and coat changes right away.
Some large-breed dogs may have individualized neuter timing discussions for orthopedic or other health reasons. That decision should be made with your vet based on breed, age, lifestyle, and overall risk. Even when neuter is delayed for a medical reason, regular monitoring of the testicles becomes more important, not less.
Prognosis & Recovery
Many dogs have a favorable outlook after surgery, especially when the tumor is found early and has not spread. Interstitial cell tumors are usually benign. Seminomas and Sertoli cell tumors can be malignant, but metastasis is still relatively uncommon in many cases. When the disease is confined to the testicle, neuter surgery is often curative.
Recovery from surgery is similar to other neuter procedures, though abdominal cryptorchid surgery can involve a longer recovery than a routine scrotal neuter. Most dogs need activity restriction, incision monitoring, and an e-collar or recovery suit to prevent licking. Your vet may recommend a recheck and will review the pathology report to decide whether more testing is needed.
Prognosis becomes more guarded if the tumor has spread or if a Sertoli cell tumor has caused significant estrogen-related bone marrow suppression. Those dogs may need more intensive monitoring and supportive care. Even then, there are still treatment options, and your vet can help you weigh conservative, standard, and advanced paths based on your dog’s comfort, overall health, and your goals.
Questions to Ask Your Vet
Bring these questions to your vet appointment to get the most out of your visit.
- Do you think this mass is limited to the testicle, or do you recommend staging tests first? This helps you understand whether surgery alone is reasonable or whether imaging is important before treatment.
- Is my dog cryptorchid, and does that change the surgical plan or cancer risk? A retained testicle raises cancer risk and usually makes surgery more involved.
- Which tumor types are most likely in my dog’s case? Different tumor types have different hormone effects and different chances of spread.
- What bloodwork do you recommend before anesthesia and why? Older dogs and dogs with hormone-related illness may need extra safety screening before surgery.
- Will the removed tissue be sent for pathology? Pathology confirms the diagnosis and helps guide follow-up care.
- What is the expected cost range for conservative, standard, and advanced care in my area? This helps you plan realistically and choose an option that fits your dog and budget.
- What signs at home would mean my dog needs urgent recheck before surgery? Rapid swelling, pain, vomiting, weakness, or pale gums can signal a more urgent problem.
- If cancer has spread, what treatment options are still available? This opens a practical conversation about oncology referral, comfort-focused care, and expected outcomes.
FAQ
Is testicular cancer in dogs an emergency?
Usually it is not a middle-of-the-night emergency, but it does need a prompt veterinary visit. See your vet immediately if your dog has sudden severe pain, vomiting, weakness, collapse, or rapid swelling, because torsion, bleeding, or infection can look similar.
What are the most common testicular tumors in dogs?
The three main types are Sertoli cell tumors, seminomas, and interstitial cell tumors. They differ in how often they produce hormones and how likely they are to spread.
Can neutered dogs get testicular cancer?
A dog cannot develop a new testicular tumor after both testicles have been removed. However, a retained testicle left behind or incomplete prior surgery would change that discussion, so your vet should evaluate any concern.
Are testicular tumors painful for dogs?
Not always. Many dogs have little or no pain early on. Some develop discomfort as the mass enlarges, and retained testicles can become very painful if torsion occurs.
Can testicular cancer spread in dogs?
Yes, but many testicular tumors are localized when found. Spread is more likely in some malignant tumors or more advanced cases, which is why your vet may recommend chest imaging or abdominal ultrasound.
What happens after surgery?
Most dogs go home the same day or after a short stay, then recover with rest, pain control, and incision care. Your vet will usually review the pathology report and decide whether any follow-up testing is needed.
Does cryptorchidism increase cancer risk?
Yes. Dogs with a retained testicle have a much higher risk of developing testicular cancer, especially in the undescended testicle. They also have a higher risk of torsion.
Can a dog still breed if only one testicle is affected?
Some dogs with one normal descended testicle may still be fertile, but dogs with cryptorchidism should not be bred because the condition is inherited. If a tumor is suspected, breeding plans should be discussed with your vet right away.
Medical Disclaimer
The information provided on this page is for general informational and educational purposes only and is not intended as a substitute for professional veterinary advice, diagnosis, or treatment. This content is not a diagnostic tool. Symptoms described may indicate multiple conditions, and only a licensed veterinarian can provide an accurate diagnosis after examining your animal. Never disregard professional veterinary advice or delay seeking it because of something you have read on this website. Always seek the guidance of a qualified, licensed veterinarian with any questions you may have regarding your pet’s health or a medical condition. Use of this website does not create a veterinarian-client-patient relationship (VCPR) between you and SpectrumCare or any veterinary professional. If you believe your pet may have a medical emergency, contact your veterinarian or local emergency animal hospital immediately.