Testicular cancer (assumed)

Case contributed by Brendan Cullinane

Presentation

Referred to investigate a lump in the right epididymis. The patient also complained for right testicular discomfort. He had previously been affected by right-sided epididymo-orchitis but the current pain was not to this level.

Patient Data

Age: 35
Gender: Male
Ultrasound

Case Discussion

An intratesticular mass was seen within the lower pole of the right testis. It had irregular margins, which appeared to cross and disrupt the tunica albuginea. At this site, the testis felt hard but elsewhere felt soft and pliable. The left testis also felt soft and pliable.

The arterial blood flow within the mass was biphasic, which is not in keeping with focal orchitis. The intratesticular flow elsewhere within the right testis was normal, low-resistance, continuous forward flow.

The overall impression was of testicular cancer (assumed until proven otherwise) rather than focal orchitis.

The patient has been booked in for an orchectomy.

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Case information

rID: 12920
Case created: 3rd Feb 2011
Last edited: 6th Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

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