As with any cancer, the lymph nodes often become enlarged and swollen. Enlarged lymph nodes are therefore a sign of an advanced stage of cancer. Other organs may be affected by the metastasized cancer. Late-stage testicular cancer symptoms include swollen lymph nodes and dull pain in the lower back and belly area. A lack of energy, shortness of breath, coughing and chest pain, headache, and confusion are also associated with this disease.

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