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Scrotal Masses

Edward Y Kwon, M.D. Reviewed 05/2023
 


BASICS

DESCRIPTION

  • The differential diagnosis of a scrotal mass is wide and includes many benign causes. A painless mass should undergo ultrasonography with color doppler for further evaluation. A pain...

DIAGNOSIS

HISTORY

Pain is a nonspecific finding. The absence of pain does not necessarily indicate a benign finding as testicular cancer can present as a painless mass. The presence of pain indicates t...

TREATMENT

GENERAL MEASURES

Testicular cancer: 
  • Radical inguinal-orchiectomy is standard management for a testicular mass concerning for malignancy. However, testis-sparing surgery may be considered in e...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Normal serum tumor markers with an equivocal exam and ultrasound findings should undergo repeat imaging in 6-8 weeks. 

REFERENCES

1
Crawford P, Crop JA. Evaluation of Scrotal Masses. Am Fam Physician. 2014;89(9):723–7. PMID:24784335.
2
O'Reilly P, Le J, Synavskaya A, Mandel ED. Evaluating scrotal masses. JAAPA. 2016;29(2...

CLINICAL PEARLS

  • All patients with an acutely painful scrotal mass warrant urgent evaluation including ultrasound with color Doppler.

  • Patients with a palpable scrotal mass are presumed to have testicula...

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