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(Created page with "__NOTOC__ {{Scrotal mass}} {{CMG}}{{AE}}{{SR}} ==Overview== ==Evaluation of Scrotal Mass== ==References== {{reflist|2}} Category:Diseases Category:Oncology {{WS}}...")
 
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==Overview==
==Overview==


==Evaluation of Scrotal Mass==
==Physical Evaluation==
The physical examination findings of scrotal mass depend on the cause of the mass. The likely diagnoses of a scrotal mass based on physical examination findings include:<ref name=pescrotalmass1>Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016</ref>
 
===Swelling of the Testis===
{{familytree/start |summary=Swelling of the testis}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | A01 |A01=<div style="width: 9em; padding:0.2em;">'''Swelling of the testis'''</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|.| | |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | B01 | | | | | | | | | | | | | | B02 | |B01=<div style="width: 9em; padding:0.2em;">Tender, onset <24 hours</div>|B02=<div style="width: 9em; padding:0.2em;">Nontender, gradual onset</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | C01 | | | | | | | | | | C02 | | | | | | C03 |C01=<div style="width: 9em; padding:0.2em;">Torsion versus orchitis</div>|C02=<div style="width: 9em; padding:0.2em;">Solid</div>|C03=<div style="width: 9em; padding:0.2em;">Transilluminates</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | C03 | | | | | | C04 | | | | | | C05 | | | | | | C06 | |C03=<div style="width: 9em; padding:0.2em;">Yes</div>|C04=<div style="width: 9em; padding:0.2em;">No</div>|C05=<div style="width: 9em; padding:0.2em;">Yes</div>|C06=<div style="width: 9em; padding:0.2em;">No</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | D01 | | | | | | D02 | | | | | | D03 | | | | | | D04 |D01=<div style="width: 9em; padding:0.2em;">Presumed torsion<br>Doppler ultrasonogram,<br>urology consult</div>|D02=<div style="width: 9em; padding:0.2em;">Blue dot sign?</div>|D03=<div style="width: 9em; padding:0.2em;">Hydrocele</div>|D04=<div style="width: 9em; padding:0.2em;">"Bag of worms" on palpation that increases on Valsalva maneuvers</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | A02 | | | | | | A03 | | | | | | A04 | | | | | | A05 |A02=<div style="width: 9em; padding:0.2em;">Yes</div>|A03=<div style="width: 9em; padding:0.2em;">No</div>|A04=<div style="width: 9em; padding:0.2em;">Yes</div>|A05=<div style="width: 9em; padding:0.2em;">No</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | E01 | | | | | | E02 | | | | | | E03 | | | | | | E04 |E01=<div style="width: 9em; padding:0.2em;">Torsion of testicular appendage</div>|E02=<div style="width: 9em; padding:0.2em;">Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L</div>|E03=<div style="width: 9em; padding:0.2em;">Varicocele</div>|E04=<div style="width: 9em; padding:0.2em;">Reducible mass?</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | |,|-|-|-|^|-|-|-|.| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | E05 | | | | | | E06 | | | | | | E07 | | | | | | E08 |E05=<div style="width: 9em; padding:0.2em;">Yes</div>|E06=<div style="width: 9em; padding:0.2em;">No</div>|E07=<div style="width: 9em; padding:0.2em;">Yes</div>|E08=<div style="width: 9em; padding:0.2em;">No</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | |!| | | | | | | |!| | | | | | | |!| | | | | | | |!| | |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | F01 | | | | | | F02 | | | | | | F03 | | | | | | F04 | |F01=<div style="width: 9em; padding:0.2em;">Testicular torsion; urgent surgery</div>|F02=<div style="width: 9em; padding:0.2em;">Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer</div>|F03=<div style="width: 9em; padding:0.2em;">Hernia</div>|F04=<div style="width: 9em; padding:0.2em;">Extratesticular and nontender</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |,|-|-|-|^|-|-|-|.| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | F05 | | | | | | F06 |F05=<div style="width: 9em; padding:0.2em;">Yes</div>|F06=<div style="width: 9em; padding:0.2em;">No</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | |!| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | G01 | | | | | | G02 |G01=<div style="width: 9em; padding:0.2em;">Likely benign, further workup as needed</div>|G02=<div style="width: 9em; padding:0.2em;">Doppler sonography prior to urology evaluation</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | H01 | |H01=<div style="width: 9em; padding:0.2em;">Unilateral mass</div>}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| |}}
{{familytree |boxstyle=background: #DCDCDC;| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | I01 | |I01=<div style="width: 9em; padding:0.2em;">Evaluate for testicular cancer: AFP, B-HCG, and  LDH levels; MRI or CT scans may be considered to look for possible metastases and cryopreservation of sperm while awaiting urology evaluation</div>}}
{{familytree/end}}
<SMALL>Adapted from American academy of family physicians.<ref name=pescrotalmass1>Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016</ref></SMALL>
 


==References==
==References==

Revision as of 15:40, 22 March 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Physical Evaluation

The physical examination findings of scrotal mass depend on the cause of the mass. The likely diagnoses of a scrotal mass based on physical examination findings include:[1]

Swelling of the Testis

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Swelling of the testis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Tender, onset <24 hours
 
 
 
 
 
 
 
 
 
 
 
 
 
Nontender, gradual onset
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Torsion versus orchitis
 
 
 
 
 
 
 
 
 
Solid
 
 
 
 
 
Transilluminates
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Presumed torsion
Doppler ultrasonogram,
urology consult
 
 
 
 
 
Blue dot sign?
 
 
 
 
 
Hydrocele
 
 
 
 
 
"Bag of worms" on palpation that increases on Valsalva maneuvers
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Torsion of testicular appendage
 
 
 
 
 
Lack of blood flow on doppler sonogram, C-reactive protein level <24 mg per L
 
 
 
 
 
Varicocele
 
 
 
 
 
Reducible mass?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Testicular torsion; urgent surgery
 
 
 
 
 
Likely epididymitis/orchitis, possibly incarcerated inguinal hernia, or hemorrhagic testicular cancer
 
 
 
 
 
Hernia
 
 
 
 
 
Extratesticular and nontender
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Likely benign, further workup as needed
 
 
 
 
 
Doppler sonography prior to urology evaluation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Unilateral mass
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Evaluate for testicular cancer: AFP, B-HCG, and LDH levels; MRI or CT scans may be considered to look for possible metastases and cryopreservation of sperm while awaiting urology evaluation
 

Adapted from American academy of family physicians.[1]


References

  1. 1.0 1.1 Evaluation of scrotal mass. American academy of family physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 22, 2016

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