Testicular tumor

Background

1. most common malignancy in young men, 1% all cancers in men
2. increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism
3. 95% germ cell tumors: half seminomas, half mixed types (teratomas, choriocarcinomas, yolk sac tumors)
4. 5% sex cord stromal tumors
5. typically present with painless scrotal mass

Diagnosis

1. testicular US
2. if pain must rule out epididymitis, torsion
3. may present with mets at time of diagnosis
   1. 15% present with mets to regional lymph nodes
   2. 5% present with mets to abdomen or pelvis

Work-Up

1. testicular US
2. UA
3. CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body

DDx

1. hydrocele
2. torsion
3. epididymitis

Treatment

1. urgent urology referral

Disposition

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See Also

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Source

Adapted from ....(insert)