Germ Cell Tumours: Difference between revisions
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** Palpate for any testicular or extra-testicular masses. Note relative size and consistency of affected and normal contralateral testicle. | ** Palpate for any testicular or extra-testicular masses. Note relative size and consistency of affected and normal contralateral testicle. | ||
***'''A firm intratesticular mass should be managed as a malignant neoplasm until proven otherwise and should be evaluated further with a scrotal ultrasound scan.''' | ***'''A firm intratesticular mass should be managed as a malignant neoplasm until proven otherwise and should be evaluated further with a scrotal ultrasound scan.''' | ||
** '''<span style="color:#ff0000">Differential diagnosis of a scrotal mass ( | ** '''<span style="color:#ff0000">Differential diagnosis of a scrotal mass (8):</span>''' | ||
**# '''<span style="color:#ff0000">Testicular neoplasm</span>''' | **# '''<span style="color:#ff0000">Painless</span>''' | ||
**# '''<span style="color:#ff0000"> | **##'''<span style="color:#ff0000">Testicular neoplasm</span>''' | ||
**# '''<span style="color:#ff0000"> | **##'''<span style="color:#ff0000">Paratesticular neoplasm (benign or malignant)</span>''' | ||
**# '''<span style="color:#ff0000"> | **## '''<span style="color:#ff0000">Hernia</span>''' | ||
**# '''<span style="color:#ff0000"> | **## '''<span style="color:#ff0000">Varicocele</span>''' | ||
**# '''<span style="color:#ff0000"> | **## '''<span style="color:#ff0000">Spermatocele</span>''' | ||
**# '''<span style="color:#ff0000"> | **#'''<span style="color:#ff0000">Painful</span>''' | ||
**# '''<span style="color:#ff0000"> | **##'''<span style="color:#ff0000">Torsion</span>''' | ||
**## '''<span style="color:#ff0000">Hematoma</span>''' | |||
**## '''<span style="color:#ff0000">Epididymoorchitis</span>''' | |||
* '''Sites of metastases''' | * '''Sites of metastases''' | ||
** '''Supraclavicular lymph nodes''' | ** '''Supraclavicular lymph nodes''' |