Scrotal mass differential diagnosis: Difference between revisions

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* Previous history of [[testicular torsion]]
* Previous history of [[testicular torsion]]
* [[Family history]]<nowiki/>of [[testicular torsion]]
*<nowiki/>[[Family history]]<nowiki/> of [[testicular torsion]]
* [[Prematurity]]
* [[Prematurity]]
* [[Undescended testes]]
*<nowiki/>[[Undescended testes]]
* [[Low birth weight]]
* [[Low birth weight]]
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| style="background: #F5F5F5; padding: 5px;" |Normal
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| style="background: #F5F5F5; padding: 5px;" |Absent or decreased arterial perfusion of the testis
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| style="background: #F5F5F5; padding: 5px;" |<nowiki/>
* [[Prematurity]]
* [[Undescended testes]]
* [[Low birth weight]]
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Revision as of 18:14, 23 January 2019

Scrotal Mass Microchapters

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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

Scrotal masses may be differentiated according to clinical features, laboratory findings, imaging features, histological features, and genetic studies from other diseases that cause testicular mass with discomfort, back pain, abdominal discomfort, or abdominal mass. Common differential diagnoses include yolk sac tumor, teratoma, choriocarcinoma, embryonal cell carcinoma, seminoma, and testicular lymphoma (usually non-Hodgkin lymphoma).

Differential Diagnosis

The table below summarizes the findings that differentiates scrotal mass according to the clinical features, laboratory findings, imaging features, histological features, and genetic studies.

Scrotal Swelling Diseases Clinical manifestations Para-clinical findings Gold standard Associated
Painful Symptoms Physical examination
Lab Findings Past Medical History Histopathology
Unilateral /Bilateral swelling Onset Fever Urinary symptoms Tenderness Erythema Discharge Inguinal Lymphadenopathy Cremasteric Reflex Urine Analysis Doppler U/S
Epididymitis[1] Unilateral Gradual ± Dysuria, frequency, and/or urgency + _ Pyuria +

Leukocytosis

Hydrocele
Orchitis Unilateral or bilateral Abrupt ± ± + _ ± + Leukocytosis
Testicular Torsion[2] Unilateral Sudden - + + Blood in semen _ Normal Absent or decreased arterial perfusion of the testis
Torsion of testicular appendix Unilateral Sudden - + + _ _ Normal Absent or decreased arterial perfusion of the testis prepubertal period
Hematocele +
Incarcerated Hernia -
Testicular Abcess -
Brucellosis -
Mumps -
Histoplasma
Gonorrhea
Fournier's gangrene
Scrotal Swelling Diseases Unilateral /Bilateral swelling Lab 3 Fever Urinary symptoms Tenderness Erythema Discharge Inguinal Lymphadenopathy Cremasteric Reflex Urine Analysis Doppler U/S Past Medical History Histopathology Gold standard Additional findings
Painless Fragile XMacroorchidism - +
Testicular Tumors - +
Henoch-Schonlein purpura - -
Hydrocele - -
Varicocele - -
Spermatocele - -
Inguino-scrotal hernia - -
Scrotal edema - -
Epididymal cyst
Scrotal oedema
Sebaceous cyst
Carcinoma of the scrotum
Chylocele (Filariasis)
Cystic dysplasia
Srotoliths

References

  1. Yu KJ, Wang TM, Chen HW, Wang HH (2012). "The dilemma in the diagnosis of acute scrotum: clinical clues for differentiating between testicular torsion and epididymo-orchitis". Chang Gung Med J. 35 (1): 38–45. PMID 22483426.
  2. Gunther P, Schenk JP, Wunsch R, Holland-Cunz S, Kessler U, Troger J, Waag KL (November 2006). "Acute testicular torsion in children: the role of sonography in the diagnostic workup". Eur Radiol. 16 (11): 2527–32. doi:10.1007/s00330-006-0287-1. PMID 16724203.