A 25-year-old man has occasionally felt pain in the scrotum for the past 3 months. On physical examination, the right testis is more tender than the left, but does not appear to be appreciably enlarged. An ultrasound scan shows a 1.5-cm mass. A right orchiectomy is performed, and gross examination shows the mass to be hemorrhagic and soft. 1. What would you do next? 2. What about differentials? Discussion and other questions/updates to follow in the comments below as guide to the final diagnosis.
Most probably an Embryonal Carcinoma, indicated by hemorrhage and the age(20-30). Try to grade the tumor, and look for metastasis in para aortic lymph nodes. or even distant spread to bones and lungs
What is this patients condition, l have a similar condition
Does the patient have a vasectomy, that may contribute to the pain. If not, it could be testicular cancer.
