Testicular mass

Causes

Appropriate Tests

 

Torsion of the testis and epididymo-orchitis should be considered in the diagnosis of any testicular mass which develops quickly and is associated with tenderness or fever.

Intraoperative Testicular biopsy, including FS, is occasionally done in children, with a view to testis-preserving surgery. Biopsy should only be performed in specialist centres and if immediate orchidectomy is possible on a diagnosis of malignancy.

Orchidectomy is the preferred biopsy procedure if tumour (other than acute leukaemia) is suspected.

Torsion

 

Epididymo-orchitis

See also Orchitis

Tumours

  • Germ cell tumour
  • Sertoli cell tumour
  • Leydig cell tumour
  • Lymphoma
  • Acute leukaemia

Full blood count; Alpha-fetoprotein and human chorionic gonadotrophin (beta subunit) should be performed prior to surgery to establish baseline levels