Testicular Mass: Causes & Reasons

Possible Causes for Testicular Mass

Diagnostic Confirmation: Are you sure your patient has scrotal/testicular nodules or masses? [cancertherapyadvisor.com]

IMT usually present with a unilateral painless scrotal mass that is often indistinguishable from other scrotal masses, including testicular germ cell tumors. [ncbi.nlm.nih.gov]

Real-time elastography and contrast-enhanced ultrasonography in the evaluation of testicular masses: a comparative prospective study. [eurjmedres.biomedcentral.com]

Testicular Disease

One of the most important findings to evaluate are testicular masses to be sure that this does not represent testicular cancer which is the most common cancer found in men [ampofny.com]

A painless testicular mass is the most common presentation of testicular cancer. [med.unc.edu]

Dr Ahluwalia says that testicular cancer may develop painless testicular mass. [timesofindia.indiatimes.com]

Leydig Cell Tumor of the Testis

Abstract Leydig cell tumors of the testis are rare, mostly presenting as a testicular mass or as endocrinological symptoms. [ncbi.nlm.nih.gov]

They present most commonly as a testicular mass or with endocrine symptoms. We report three new cases of Leydig cell tumors that presented in different forms. [ncbi.nlm.nih.gov]

Benign LCT are small (3-5 cm), sharply delineated, solid brown to yellow to gray testicular masses. [indianjcancer.com]

Testicular Injury

Testicular masses (or tumors) are growths found on the testicle. [wmuro.com]

Testicular cancer is less common than the other causes of scrotal masses, but it is the most serious. [urologygroup.com]

For many years, the identification of a hypoechoic testicular lesion in a young man with a painless palpable mass was considered virtually diagnostic of testicular cancer. [ajronline.org]

Testicular Choriocarcinoma

The histopathological assessment of the biopsied tissue, in combination with elevated serum β-HCG levels and presentation of testicular mass, indicated primary testicular [ncbi.nlm.nih.gov]

Ultrasonography shows right testicular mass, para-aortic lymphadenopathy and multiple hepatic SOL. CT scan shows soft tissue mass in the right hemimandible area. [omicsonline.org]

mass; the astute clinician should also know the signs and symptoms of choriocarcinoma syndrome, characterized by bleeding from metastatic sites, which represents a medical [mayoclinic.pure.elsevier.com]

Malignant Lymphoma of the Testis

Patients usually presented with a painless small testicular mass of short duration. The peak incidence occurred in the fifth through eighth decades. [ncbi.nlm.nih.gov]

[…] diagnoses of testicular masses, especially in young patients. [apspjcaserep.com]

& adults present with testicular mass & some 10-30 % have gynaecomastia 56. [slideshare.net]

Testicular Embryonal Carcinoma

Embryonal carcinoma presenting as a calcified solitary testicular mass on ultrasound Daniel Gerber 1, Henry Collier Wright 1, Rachael D Sussman 1, Lambros Stamatakis 2 1 Department [casereports.bmj.com]

[…] cancer staging Site testis, ovary, mediastinum Signs testicular mass, pelvic mass Prevalence pure embryonal uncommon Clin. [librepathology.org]

[…] and embryonal cell carcinoma Mixed germ cell tumor: Partly solid and partly cystic testicular mass that proved to be a mixed germ cell tumor Mixed germ cell tumor: Mixed [ultrasoundcases.info]

Testicular Embryonal Carcinoma and Seminoma

When a testicular mass develops, the risk of torsion increases. [ncbi.nlm.nih.gov]

A 60-year-old male presented with painless gross hematuria and a left testicular mass. [ncbi.nlm.nih.gov]

A 33-year-old male presented to hospital with a painless right testicular mass measuring 2 x 3 cm and no systemic symptoms. The patient had no relevant medical history. [ncbi.nlm.nih.gov]

Testicular Teratocarcinoma

Case : The patient was a 29-year-old male with a right testicular mass, measuring 8.5×7.5×8.0 cm in diameter. [jstage.jst.go.jp]

The origin and nature of scrotal masses must be determined accurately because most testicular masses are malignant, but most extratesticular masses are not; distinguishing [merckmanuals.com]

[…] tumors • bimodal age distribution - < 1 year; 20 - 45 years age • presentation - testicular mass; virilization in children; gynecomastia in adults • Gonadoblastomas • rare [slideshare.net]

Orchitis

We report brucellar orchitis, a rare cause of testicular mass, in a 22-year-old man. [ncbi.nlm.nih.gov]

Left orchitis with right testicular mass suspicious for malignancy. [ncbi.nlm.nih.gov]

This entity should be added to the differential diagnoses of testicular mass in the neonate even in the absence of physical findings suggestive of infection. [ncbi.nlm.nih.gov]

Torsion of Appendix Epididymis

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

A 59-year-old male with a painless left testicular mass. A, B. [e-ultrasonography.org]

Other testicular tumors include gonadal stromal tumors, lymphoma, leukemia, and metastases. 2 The differential diagnosis of focal testicular mass includes hematoma, abscess [appliedradiology.com]

Spermatocele

Testicular Cancer Clinical Presentation. A testicular tumor usually presents as a painless mass found by the patient or physician on routine examination. [aafp.org]

Cystic testicular mass caused by dilated rete testis: Sonographic findings in 31 cases. AJR Am J Roentgenol. 1992;158:1257-1259. [appliedradiology.com]

"Testicular Masses". American Family Physician. 57 (4): 685. ISSN 0002-838X. [en.wikipedia.org]

Teratoma of the Testis

[…] teratoma diagnosed in utero Demonstrating vascularity of testicular teratoma with calcifications Treatment Radical orchiectomy is first line therapy for testicular mass in [pathologyoutlines.com]

Avoid biopsies to prevent cancer seeding Radical orchiectomy is initial procedure to diagnose a testicular mass in an adult Increasing rate of antenatal diagnoses (J Pediatr [pathologyoutlines.com]

& adults present with testicular mass & some 10-30 % have gynaecomastia 56. [slideshare.net]

Leydig Cell Tumor

Hereby, we present the case of two brothers affected by 11-β hydroxylase deficiency and presenting with bilateral testicular masses. [ncbi.nlm.nih.gov]

A testicular mass is almost always present, and further imaging and histopathological findings are used to identify the exact tumor type. [symptoma.com]

Magnetic resonance imaging revealed the presence of left testicular hypertrophy without evidence of testicular mass. [ncbi.nlm.nih.gov]

Non-Seminoma Testicular Cancer

see differential for unilateral testicular mass see differential for bilateral testicular masses [radiopaedia.org]

[…] should raise suspicion it is considered testicular cancer until proven otherwise Imaging Ultrasound indication initial test for the evaluation of a testicular mass modality [medbullets.com]

Tabs Content Clinical Overview Diagnosis Indications for Testing Testicular mass Testicular pain Nonresolving epididymitis/orchitis Laboratory Testing AFP, beta-hCG, and LDH [arupconsult.com]

Male Hematocele

Intra-testicular Mass Most intra-testicular malignant masses.... ..... are hypoechoic Intra-testicular Mass Almost all.... ...benign intra-testicular masses are echogenic. [proprofs.com]

Scrotal examination revealed an enlarging hard, nontender mass in the right side. Testicular tumor markers were within normal range. [scielo.br]

Ultrasonography showed an extra testicular mass with solid hyperechoic areas separated by irregular septations, suggesting an abscess or hematocele (Figure-1). [scielo.br]

Sertoli Cell Tumor of the Testis

Macroscopically, the testicular mass measured 3.0 x 2.3 x 1.5 cm and was well circumscribed. The cut surface was white to tan-gray in color. [ncbi.nlm.nih.gov]

This case, which appears to be the first such case diagnosed by FNA cytology, shows the efficacy of FNA cytology in the presurgical evaluation of testicular masses. [ncbi.nlm.nih.gov]

Abstract A 45-year old man presented with a slow-growing, unilateral beige testicular mass, with a diameter of 4 cm. [ncbi.nlm.nih.gov]

Tunica Vaginalis Hydrocele

A hydrocele must be distinguished from a true testicular mass, and transillumination may help, because the hydrocele will transilluminate but a testicular mass will be opaque [library.med.utah.edu]

SUPRA TESTICULAR CYSTIC MASS COLOR OF FLUID Cord hydrocele Straw color Spermatocele Milky or Grey opaque (barley-water) Epididymis cyst Clear 11 VARICOCELE Defined as an [slideplayer.com]

A 59-year-old male with a painless left testicular mass. A, B. [e-ultrasonography.org]

Malignant Neoplasm of the Spermatic Cord

Pathology of the testicular mass was reviewed. [ncbi.nlm.nih.gov]

A 59-year-old man presented a right testicular mass of about 4 × 3 cm in size. [ncbi.nlm.nih.gov]

The authors report a case of a 53-year-old male patient who came to the urologic clinic with symptoms of a left-sided testicular mass with 4 years of evolution. [ncbi.nlm.nih.gov]

Yolk Sac Tumor

MRI Heterogeneous testicular mass lesion with post-contrast heterogeneous enhancement, with areas of hemorrhage/necrosis 2. [radiopaedia.org]

No specific symptoms except testicular mass are present. [emedicine.medscape.com]

Prospective radiologic characterization of yolk sac tumor is difficult, however a heterogeneous testicular mass favors non-seminomatous germ cell tumor (NSGCT), and at age [radiopaedia.org]

Orchitis and Epididymitis

normal cremasteric reflex Testicular masses or swollen testicles with hypoechoic and hypervascular areas Testicular torsion Acute onset of pain, usually severe High-riding [aafp.org]

mass, testicular torsion and bacterial epididymo-orchitis. [wajradiology.org]

[…] elevation (Prehn sign) Enlarged, thickened epididymis with increased blood flow on color Doppler Orchitis Abrupt onset of testicular pain Testicular swelling and tenderness [aafp.org]

Spermatic Cord Injury

Removal of testicular masses : If the pain stems from a spermatocele, hydrocele, cyst or other masses, removal may be effective. [dontcookyourballs.com]

[…] palpable and testicular mass; testicular torsion, the testicular elevation was transverse or epididymis in front of the testis, Thicker, scrotum and testicles, the pain is [healthfrom.com]

While some masses are safe (benign), many can be cancer (malignant). The good news is that testicular cancer caught early can be treated with good results. [urologyhealth.org]

Torsion of the Hydatid of Morgagni

A 59-year-old male with a painless left testicular mass. A, B. [e-ultrasonography.org]

Unusual scrotal masses: Thinking beyond germ cell tumors. Poster. Maizlin ZV, Strauss S. Testicular adrenal rest tumors. Isr Med Assoc J. 2005;7:206-207. [appliedradiology.com]

/patwari-academy-videos-testicular-torsion-and-acute-scrotal-pain/ http://dontforgetthebubbles.com/saving-balls-101-inguinoscrotal-masses/ http://learning.bmj.com/learning [paediatricem.blogspot.com]

Testicular Torsion

A case of testicular torsion within a hematoma, following blunt testicular trauma is presented, and we suggest that another indication for exploring a scrotal mass following [ncbi.nlm.nih.gov]

Color doppler ultrasonography which was performed to rule out testicular torsion revealed an intratesticular mass located at the upper pole of left testis and left radical [ncbi.nlm.nih.gov]

Testicular torsion. Testicular tumor. Transverse color Doppler image displays a hypervascular mass in the periphery of the testis. [web.archive.org]

Acute Epididymitis

normal cremasteric reflex Testicular masses or swollen testicles with hypoechoic and hypervascular areas Testicular torsion Acute onset of pain, usually severe High-riding [aafp.org]

testicular mass XIII. [fpnotebook.com]

It is possible that testicular torsion or a testicular mass may be identified fortuitously on scrotal ultrasound, however, these findings should primarily be clinical diagnoses [indianjurol.com]

Mumps Orchitis

normal cremasteric reflex Testicular masses or swollen testicles with hypoechoic and hypervascular areas Testicular torsion Acute onset of pain, usually severe High-riding [aafp.org]

Electro-orchidogram: a non-invasive diagnostic tool in testicular pathologies. Med Sci Monit. 2006 Aug. 12(8):MT51-5. [Medline]. Tiemstra JD, Kapoor S. [emedicine.medscape.com]

[…] elevation (Prehn sign) Enlarged, thickened epididymis with increased blood flow on color Doppler Orchitis Abrupt onset of testicular pain Testicular swelling and tenderness [aafp.org]

Ewing Sarcoma

[…] an increase in abdominal circumference, weight loss, a palpable mass, night sweats, fever, hematuria, and varicocele (6). [numonthly.com]

Renal PNET can present in various forms with symptoms such as malaise, nephric colic, flank pain, testicular pain, dysuria, dyspnea, dizziness, and clinical signs such as [numonthly.com]

Testicular Seminoma

see differential for unilateral testicular mass see differential for bilateral testicular masses Related articles: Germ cell tumours Related articles: Pathology: Genitourinary [radiopaedia.org]

[…] of testicular masses in patients with other malignancy. [sonoworld.com]

see differential for unilateral testicular mass see differential for bilateral testicular masses [radiopaedia.org]

Neoplasm of the Testis

Testicular Cancer Clinical Presentation. A testicular tumor usually presents as a painless mass found by the patient or physician on routine examination. [aafp.org]

& adults present with testicular mass & some 10-30 % have gynaecomastia 56. [slideshare.net]

Testicular masses should be examined with scrotal ultrasonography. [ncbi.nlm.nih.gov]

Adrenogenital Syndrome

[…] the diagnosis was not made until or after the development of a testicular mass. [ncbi.nlm.nih.gov]

The remaining patient was diagnosed at age 15 years after testicular and adrenal masses developed. [ncbi.nlm.nih.gov]

masses may be identified representing adrenal rest tissue (see the article on testicular adrenal rests ) Consider a normal neonatal adrenal: can be differentiated from CAH [radiopaedia.org]