Scrotal Mass: Causes & Reasons

Possible Causes for Scrotal Mass

There are, however, a number of benign scrotal conditions that may present as a scrotal mass and must be differentiated from a malignant process. [healthcentral.com]

The most common cystic scrotal mass in a child is a hydrocele or inguinal hernia. Hydroceles can also be seen along the inguinal canal. [meddean.luc.edu]

Indications for intervention include scrotal discomfort or disfigurement due to the sheer size of the mass. [healthcentral.com]

Malignant Neoplasm of the Testis

A scrotal mass can be a swollen testicle or it can contain fluid or other tissue. [healthline.com]

History Part 3: Competing diagnoses that can mimic scrotal/testicular nodules or masses. A focal scrotal abscess can feel like a scrotal mass. [cancertherapyadvisor.com]

Many patients discover the mass themselves after minor scrotal trauma. [msdmanuals.com]

Torsion of Appendix Epididymis

masses (Medical Encyclopedia) Testicle lump (Medical Encyclopedia) Testicle pain (Medical Encyclopedia) Testicular self-examination (Medical Encyclopedia) Varicocele (Medical [icdlist.com]

A 16-HOUR-OLD boy was found to have a scrotal mass, on his initial physical examination. [jamanetwork.com]

[…] fracture, Scrotal mass, Testicular tumors, Testicular tumors – imaging, Testicular tumors, Yolk sac tumor, Testicular teratoma, Testicular epidermoid, Leydig cell tumor, [sonoworld.com]

Tunica Vaginalis Hydrocele

Majority of benign scrotal masses transilluminate. Ultrasonography often rules out testicular tumors. [lecturio.com]

View/Print Figure Diagnosing Scrotal Masses Figure 1. Algorithm of the likely diagnoses of a scrotal mass based on physical examination findings. [aafp.org]

However, scrotal mass by itself many a times leads to psychological discomfort, anxiety and mild scrotal pain. These patients often demand confirmatory investigations. [lecturio.com]

Spermatocele

Symptoms Spermatoceles typically present as incidental scrotal masses found on routine physical examination. [healthcentral.com]

[…] orchidectomy Left scrotal mass Brauers et al. [ 13 ] 73 Vimentin (+), CD68 (+), SMA (+), desmin (−), myoglobin (−), myosin (−) Epididymectomy Left scrotal mass Cooperman [ncbi.nlm.nih.gov]

mass). [healthcentral.com]

Testicular Abscess

A scrotal mass can be a swollen testicle or it can contain fluid or other tissue. [healthline.com]

History Part 3: Competing diagnoses that can mimic scrotal/testicular nodules or masses. A focal scrotal abscess can feel like a scrotal mass. [clinicaladvisor.com]

Therefore, scrotal ultrasound is the imaging technique of choice to determine the nature of the scrotal mass and also to detect presence of scrotal abscesses. [pesquisa.bvsalud.org]

Torsion of the Hydatid of Morgagni

Testicular torsion in newborns most often appears as a hard scrotal mass, with some darkening of the skin. Unlike older patients, infants are not upset with pain. [urologyhealth.org]

mass – either enlarged or atrophied Possible acute inflammation : swollen, erythematous (or blue discolored in venous engorgement), and tender hemiscrotum Testicular torsion [amboss.com]

May have scrotal edema and discoloration. Viral etiologies most common, but can also be bacterial (brucellosis). Incarcerated inguinal hernia – Pain with a scrotal mass. [pedclerk.bsd.uchicago.edu]

Testicular Torsion

To salvage the testis, most urological surgeons advocate early exploration of enlarging scrotal masses or suspected testicular ruptures resulting from trauma. [ncbi.nlm.nih.gov]

Here, we describe two cases of bilateral asynchronous perinatal torsion, in which the only presenting abnormality on exam after birth was a unilateral scrotal mass. [ncbi.nlm.nih.gov]

In the infant group, 11 of 13 patients (85%) presented with restlessness and 12 of 13 (92%) with a tender scrotal or inguinal mass. [ncbi.nlm.nih.gov]

Varicocele

‘Other benign conditions resulting in a scrotal mass, such as testicular torsion, spermatocele, varicocele, or tuberculosis, must be ruled out.’ [en.oxforddictionaries.com]

Painless scrotal mass. Merck Manual Professional Version website. [winchesterhospital.org]

‘Scrotal ultrasonography is helpful in confirming a varicocele or testicular tumour.’ Origin Mid 18th century: from Latin varix, varic- ‘dilated vein’ + -cele. [en.oxforddictionaries.com]

Male Hematocele

Because hematocele may clinically and sonographically resemble a testicular tumor, the proper management of a complex multiseptated scrotal mass without obvious history suggestive [ncbi.nlm.nih.gov]

A 67 year-old male consulted our department for examination a painless left scrotal mass accompanied by a continuously high serum carbohydrate antigen 19-9 level (CA19-9, [ncbi.nlm.nih.gov]

Chronic hematoceles are rare scrotal masses but can mimic testicular tumors. [ncbi.nlm.nih.gov]

Testicular Injury

A scrotal mass is a lump or bulge that can be felt in the scrotum, and may result from a variety of factors There are several kinds of scrotal masses: Hydrocele (non-cancerous [urologygroup.com]

[…] pain and for detecting scrotal masses. [link.springer.com]

Most scrotal masses are due to far more common problems, such as: Infection of the epididymis Testicular torsion We will determine a mass from these more common conditions [wmuro.com]

Orchitis

Tuberculous epididymo-orchitis should be considered in the patients who present with a scrotal mass. [ncbi.nlm.nih.gov]

At the same time, a painless right scrotal mass was observed. [ncbi.nlm.nih.gov]

CASE REPORT: A 44-year old man presented with 4 months history of left scrotal mass and had left orchidectomy following a presumptive diagnosis of testicular tumour. [ncbi.nlm.nih.gov]

Malignant Neoplasm of the Spermatic Cord

A 40-year-old man presented with a scrotal mass that was diagnosed as spermatic cord paraganglioma with malignant histological features. [ncbi.nlm.nih.gov]

A 77-year-old man presented with a 5 month history of an enlarging right inguino-scrotal mass. On physical exam, the mass involved the spermatic cord. [ncbi.nlm.nih.gov]

A 59-year-old man presented with a large painless left inguinal and scrotal mass. The patient underwent excision of the mass, which arose from the spermatic cord. [ncbi.nlm.nih.gov]

Testicular Embryonal Carcinoma and Seminoma

Genitourinary Radiology > Male Pelvis > Testis > Seminoma Seminoma Seminomas are the most common malignancy of males age 15-30, usually presenting as a painless scrotal mass [med-ed.virginia.edu]

In conclusion, in the case presented scrotal scintigraphy showed a hyperemic mass at the right inguinal region that proved to be the sentinel node of a stage I testicular [ncbi.nlm.nih.gov]

Leydig cell neoplasm in a 24-year-old man with a palpable right scrotal mass and new-onset gynecomastia. [pubs.rsna.org]

Non-Seminoma Testicular Cancer

In addition, he had a large left-sided scrotal mass that he reported had continued to enlarge during the previous several months. [healio.com]

Almost all solid masses of the testes itself are cancerous. Almost all scrotal masses not arising from the testes are benign. [health24.com]

Ultrasonography may be helpful in confirming the presence of a scrotal mass within the testicle. Intratesticular masses are considered malignant until proved otherwise. [aafp.org]

Testicular Embryonal Carcinoma

Testicular cancer begins as a scrotal mass, which is usually not painful. Diagnosis is by ultrasonography. [merckmanuals.com]

Ultrasonography may be helpful in confirming the presence of a scrotal mass within the testicle. Intratesticular masses are considered malignant until proved otherwise. [aafp.org]

[…] found incidentally Dull ache in Scrotum Scrotal heaviness Vague Abdominal Pain Symptoms: Red Flag Presentations Minor scrotal Trauma causes significant injury (Scrotal hematoma [fpnotebook.com]

Direct Inguinal Hernia

Communicating hydroceles frequently present with a history of a scrotal mass that changes in size; the scrotal size increases during crying, defecation and decreases after [pedclerk.bsd.uchicago.edu]

These masses are solid and are not reducible. A scrotal mass may be a varicocele, hydrocele, or testicular tumor. [merckmanuals.com]

They may be differentiated from hernias by the absence of a palpable mass but rather the presence of a fluctuant mass. [pedclerk.bsd.uchicago.edu]

Leydig Cell Tumor

The malignant forms are generally discovered in elder men presenting a scrotal mass with no hormonal changes [1-7]. [smirg.org]

The patient underwent surgical scrotal exploration through an inguinal right incision. [ncbi.nlm.nih.gov]

Scrotal ultrasonography revealed a non-homogenous hypoechogenic tumoral mass in the right testis (Figure 1 ). [bmcresnotes.biomedcentral.com]

Indirect Inguinal Hernia

Differential Diagnosis of Groin and Scrotal Masses Diagnosis Clinical presentation Ectopic testis Absence of a testis in the scrotum Epididymitis Severe pain surrounding the [aafp.org]

They may be differentiated from hernias by the absence of a palpable mass but rather the presence of a fluctuant mass. [pedclerk.uchicago.edu]

Acute Epididymitis

Comiter et al., reported only 15 cases of nonpalpable intratesticular masses from a series of 3,019 scrotal ultrasounds performed for various indications, including pain. [indianjurol.com]

[…] l-Anness D tad-Direttiva 91/68/KEE, Last Update: 2014-11-21 Usage Frequency: 2 Quality: Reference: Translated.com English epididymitis, priapism, cervical dysplasia, breast mass [mymemory.translated.net]

Management: General measures Relative rest Scrotal elevation/support Local Ice Therapy NSAID s XIV. [fpnotebook.com]

Scrotal Elephantiasis

Testicles could not be palpated due to hudge nature of the scrotal mass. The rest of the physical exam was normal. Figure 1 Scrotal mass. [bacandrology.biomedcentral.com]

The scrotal sac was much reduced and flexible (Figure 4). Figure 1 Scrotal mass. – Anterior midline incision was made over the scrotal mass, this delivered the penis. [docksci.com]

A wide resection of the scrotal mass and perineum was performed, with reconstruction of the perineum and penis carried out using local skin flaps and split-thickness skin [ncbi.nlm.nih.gov]

Scrotal Abscess

A scrotal mass can be a swollen testicle or it can contain fluid or other tissue. [healthline.com]

Pathway Home Population Covered By The Guidance This pathway provides guidance on the imaging of adult male patients with a scrotal mass. [imagingpathways.health.wa.gov.au]

Testicular cancer is the most concerning cause of a painless scrotal mass. [merckmanuals.com]

Male Genital Tuberculosis

The usual presentation is a scrotal mass (initially unilateral but eventually bilateral in about a third of cases) which may be accompanied by draining skin sinuses. [pathologylearningcentre.uct.ac.za]

Tuberculous epididymo-orchitis should be considered in the patients who present with a scrotal mass. [link.springer.com]

masses (Medical Encyclopedia) Testicle lump (Medical Encyclopedia) Testicle pain (Medical Encyclopedia) Testicular self-examination (Medical Encyclopedia) Varicocele (Medical [icdlist.com]

Lipogranuloma

Primary sclerosing lipogranuloma: an unusual scrotal mass Published online: 04 October 2010 Fig. 1. [tandfonline.com]

Sclerosing lipogranuloma: an unusual scrotal mass Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada Feb 2002 (Vol. 9, Issue 1, Pages( 1464 - 1469) [canjurol.com]

We describe a 47-year-old male patient who presented with a growing, painless scrotal mass on physical examination. [ncbi.nlm.nih.gov]

Tuberculosis of the Vas Deferens

Fetal CNS; Evaluation of Diffuse Liver Disease; Evaluation of Scrotal Masses; Lower Extremity Venous Ultrasound Examination; and more! [books.google.de]

Patients may seek evaluation of a scrotal mass as an incidental finding. [aafp.org]

We report a case of tuberculosis of the spermatic cord in a sexually active young man, revealed by a scrotal mass mimicking a tumor of the testicle and discuss the suitable [ncbi.nlm.nih.gov]

Benign Interstitial Cell Tumor of the Testis

Clinical presentation Nearly all testis tumors present with a painless scrotal mass that is usually palpable and seen on ultrasound. [otstregistry.org]

Trans-scrotal biopsies of solid scrotal masses should be avoided due to the risk of seeding of the incision if the mass is indeed a rhabdomyosarcoma. [pediatricurologybook.com]

Usually, a paratesticular tumor appears as a scrotal mass occasionally associated with a hydrocele. Seventy percent of all cases are benign and 30% are malignant. [wcrj.net]

Sertoli Cell Tumor of the Testis

They present as painless scrotal masses without hormonal disturbances and are benign in nature. Less than 30 cases have been reported in the world literature. [ijp.iranpath.org]

Clinical presentation Nearly all testis tumors present with a painless scrotal mass that is usually palpable and seen on ultrasound. [otstregistry.org]

The most frequent clinical manifestation is a painless scrotal mass (65% - 95%). Other symptoms include scrotal heaviness or lower abdominal pain (10%). [sonoworld.com]

Urethral Diverticulum

Rarely, the diverticulum may initially present as a scrotal mass. [jmedicalcasereports.biomedcentral.com]

We stress the importance of a surgical approach in evaluating scrotal mass if diagnostic imaging cannot confirm an exact diagnosis. [ncbi.nlm.nih.gov]

Male urethral diverticulum with massive lithiasis presenting as a scrotal mass with stress urinary incontinence as the main symptom is extremely rare. [ncbi.nlm.nih.gov]

Spermatic Cord Injury

masses (Medical Encyclopedia) Testicle lump (Medical Encyclopedia) Testicle pain (Medical Encyclopedia) Testicular self-examination (Medical Encyclopedia) Varicocele (Medical [icdlist.com]

If the torsion occurs prenatally, the baby is born with a firm, hard, non-transilluminable scrotal mass. There are no symptoms. [patient.info]

[…] area. d Scrotal area. [karger.com]

Testicular Teratocarcinoma

Many patients discover the mass themselves after minor scrotal trauma. [merckmanuals.com]

Masses [urologygroup.com]

Ultrasonography may be helpful in confirming the presence of a scrotal mass within the testicle. Intratesticular masses are considered malignant until proved otherwise. [aafp.org]