Testicular tumor

Background

-most common malignancy in young men, 1% all cancers in men

-increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism

-95% germ cell tumors: half seminomas, half mixed types (teratomas, choriocarcinomas, yolk sac tumors)

-5% sex cord stromal tumors

-typically present with painless scrotal mass

Diagnosis

-testicular US

-if pain must rule out epididymitis, torsion

-may present with mets at time of diagnosis

    -15% present with mets to regional lymph nodes

    -5% present with mets to abdomen or pelvis

Work-Up

-testicular US

-UA

-CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body

DDx

-hydrocele

-torsion

-epididymitis

Treatment

-urgent urology referral

Disposition

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Evidence Based Questions

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See Also

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Source

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