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Med Clin North Am. 2011 Jan;95(1):235-44. doi: 10.1016/j.mcna.2010.08.029.

The diagnosis and management of scrotal masses.

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  • 1Department of Urology, University of Michigan Health System, 1500 East Medical Center Drive, Taubman Center 3875, Ann Arbor, MI 48109, USA.


When evaluating a patient with a scrotal mass, a careful history and inguinoscrotal examination are necessary. Malignant scrotal wall, paratesticular, or spermatic cord tumors are rare. Scrotal ultrasound can confirm the precise location of a mass or rule out the presence of an inguinal hernia. Testicular masses deserve a formal workup, with serum tumor markers, a scrotal ultrasound as needed, and prompt consultation with a urologist for further staging and intervention. Scrotal masses in children are much rarer than in adults and should be evaluated by a urologist.

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