Scrotal mass classification: Difference between revisions

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{{Scrotal mass}}
{{Scrotal mass}}
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{{CMG}}{{AE}}{{NE}}{{SR}}


==Overview==
==Overview==
[[Scrotal swelling|Scrotal mass]]<nowiki/>deponds on [[Intra-abdominal abscess|intra testicular]] or [[Extra-ovarian serous carcinoma|extra testicular]]  may be classified into 6 subtypes based on their [[Anabaena circinalis|anatomical origion]].Based on the exictance of pain, [[Scrotal masses (patient information)|scrotal mass]] may be classified as either painfull or non painfull.
The [[Cancer staging|staging]] of [[Testicular cancer (patient information)|testicular cancer]] is based on the [[Tn10|TNMS.]]


==Classification==
==Classification==
The table below summarizes the classification of scrotal mass.
[[Scrotal masses (patient information)|Scrotal mass]][[(+)-(s)-n-alpha-dimethylphenethylamine|(intratesticular or extratesticular]]) may be classified according to their [[Alpha,alpha-phosphotrehalase|anatomical origin]] into 6 groups:
 
*Skin
{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align=center valign=top
*[[Tunica vaginalis testis]]
!style="padding: 0 5px; background: #DCDCDC" colspan=4 | {{fontcolor|#000|Scrotal Mass<br><small> Adapted from Radiopaedia.org.<ref name=Extratesticularscrotalmassdifferential1>Extratesticular scrotal mass (differential). Radiopaedia 2016. Dr Matt A. Morgan et al. , Accessed on March 15, 2016</ref><ref name=Unilateraltesticularlesions1>Unilateral testicular lesions. Dr Yuranga Weerakkody and Dr Vinod G Maller et al. Radiopaedia 2016. http://radiopaedia.org/articles/unilateral-testicular-lesions. Accessed on March 15, 2016</ref><ref name=Bilateraltesticularlesions1>Bilateral testicular lesions. Radiopaedia 2016. Dr Matt A. Morgan and Dr Vinod G Maller et al. Radiopaedia 2016. http://radiopaedia.org/articles/bilateral-testicular-lesions. Accessed on March 15, 2016</ref></small>}}
*[[Processus vaginalis|Processus vaginalis testis]]
*[[Paal-Knorr Synthesis|Panpiniform plexus]]
*[[Epididymis]]
*Testis<ref name="pmid19035065.">{{cite journal| author=Tiemstra JD, Kapoor S| title=Evaluation of scrotal masses. | journal=Am Fam Physician | year= 2008 | volume= 78 | issue= 10 | pages= 1165-70 | pmid=19035065. | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19035065  }} </ref>
Based on the [[Pain Clear Paracetamol|pain existant]] , [[Scrotal masses (patient information)|scrotal mass]] may be classified as either painfull or non painfull .<ref name="pmid24784335">{{cite journal| author=Crawford P, Crop JA| title=Evaluation of scrotal masses. | journal=Am Fam Physician | year= 2014 | volume= 89 | issue= 9 | pages= 723-7 | pmid=24784335 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24784335  }} </ref>  
The [[Cancer staging|staging]] of [[Testicular cancer (patient information)|testicular cancer]] is based on the [[Tn3 resolvase|TNMS]].<ref name="pmid18326165">{{cite journal| author=Shaw J| title=Diagnosis and treatment of testicular cancer. | journal=Am Fam Physician | year= 2008 | volume= 77 | issue= 4 | pages= 469-74 | pmid=18326165 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18326165  }} </ref>
According table adapted from Department of Am Fam Physician. 2008 Nov 15;78(10):1165-1170.<ref name="pmid19035065">{{cite journal| author=Tiemstra JD, Kapoor S| title=Evaluation of scrotal masses. | journal=Am Fam Physician | year= 2008 | volume= 78 | issue= 10 | pages= 1165-70 | pmid=19035065 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19035065  }} </ref>
{| class="wikitable"
|+Classification of [[Scrofula case study one|Scrotal mass]] by [[Anatomical]] place
![[Anatomical]] place
!Disease
![[Natural Health Products|Natural]] [[History and Physical examination|history]]
!Pain
!Other symptoms
|-
!Skin
|[[Sebaceous glands|Sebaceuse cyst]]
[[Squamous cell carcinoma of the skin|Squamouse cell carcinoma]]
|[[Acacia cornigera|Acute/chronic,]][[Stable Angina|stable]]
[[Chronic pancreatitis overview|Chronic,progressive]]
|No
No
|__
__
|-
![[Tunica vaginalis]]
|[[Hydrocele case study one|Hydrocele]]
[[Hydrocele case study one|,Hematocele]]
|[[Acacia decurrens|Acute /chronic,stable]]
[[Acacia cornigera|Acute,caused by trauma]]
|No
Yes
|[[Transillumination]]
Does not [[Transillumination|transilluminate]] well
|-
![[Processus vaginalis]]
|[[Indirect inguinal hernia]]
,[[Hydrocele]]
|[[Acute phase protein|Acute/chronic,stable or progressive]]
[[Chronic stable angina guidelines for pharmacotherapy to improve prognosis and reduce symptoms|Chronic ,stable]]
|No,Yes if [[Strangulated hernia|strangulated]]
No
|By [[Valsalva maneuver|valsalva maneuvers]] may enlarge
Different sizes
<br />
|-
|-
! colspan="2" style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Testicular scrotal mass}}
![[P-Aminosalicylic acid|Panpiniform plexus]]
! style="background: #4479BA; width: 200px;" colspan="2" | {{fontcolor|#FFF|Extratesticular scrotal mass}}
|[[Varicocele]]
|[[Chronic|Chronic ,stable]]
|No
|"[[Bag Balm|Bag of worms"]]
|-
|-
| style="padding: 0 5px; background: #DCDCDC" align=center | '''Neoplastic'''
![[Epididymal secretory protein E1|Epididimysis]]
| style="padding: 0 5px; background: #DCDCDC" align=center | '''Non-neoplastic'''
|[[Epi-lipoxin|Epididimysis]]
| style="padding: 0 5px; background: #DCDCDC" align=center | '''Benign'''
,[[Spermatocele]]
| style="padding: 0 5px; background: #DCDCDC" align=center | '''Malignant'''
|[[Acute-phase protein|Acute ,progressive]]
[[Acute-phase protein|Chroic,stable]]
|Yes
No
|May have [[Symptoms of SVG Occlusion|UTI symptoms]]
__
|-
|-
! style="padding: 0 5px; background: #4479BA" | {{fontcolor|#FFF|Germ cell tumors}}
![[Testis]]
| style="padding: 0 5px; background: #F5F5F5" rowspan="6" valign=top|
|[[Testicular|Testicular tortion]],
*[[Adrenal cortical rest]]
[[Apenta|Apendix testis]] [[Tortuous artery|tortion]]
*[[Chylocele]]
 
*[[Cystic dysplasia]]
[[Orchitis]]
*[[Dermoid cyst]]
 
*[[Epidermoid cyst]]  
[[Testicular cancer MRI|Testicular cancer]]
:(keratocyst)
|[[Acute (medicine)|Acute,progressive]],
*[[Granulomatous orchitis]]
[[Acute phase protein|Acute,stable]]
*[[Hematocele]]
 
*[[Hydrocele]]
[[Acute phase protein|Acute]][[Self-acceptance|,self]] [[Limit theorem|-limitted]]
*[[Macroorchidism]]
 
*[[Malakoplakia]]
[[Chronic-pancreatitis overview|Chronic,progressive]]
*[[Meconium periorchitis]]
<br />
*[[Testicular vasculitis]]
|Yes
*Paratesticular fibrous pseudotumor
Yes
*[[Polyorchism]]  
 
:(supranumerary testes)
Yes
*[[Spermatocele]]
 
*[[Splenogodal fusion syndrome]]
No
:(ectopic scrotal spleen)
|Increase pain by elevation of testis,[[Cremasteric muscle|cremastic reflex]] usually abcent
*[[Varicocele]]
 
*[[Testicular torsion]]
[[Blue Cohosh|Blue dot sign]]
*[[AIDS-related testicular cancer]]
 
*[[Brucellosis]]
Decrease pain by [[Elevation|elevation of testis]]
*[[Gonorrhea|Gonorrhea infection]]
 
*[[Histoplasmosis|Histoplasma infection]]
__
*[[Mumps|Mumps orchitis]]
[[Category: oncology,radiology,surgery,urology]]
*[[Epididymo-orchitis|Pyogenic epididymo-orchitis]]
 
*[[Syphilis]]
|}
*[[Tuberculosis]]
{| class="wikitable"
| style="padding: 0 5px; background: #F5F5F5" rowspan="6" valign=top|
According table adapted from Am Fam Physician. 2014 May 1;89(9):723-727.<ref name="pmid24784335">{{cite journal| author=Crawford P, Crop JA| title=Evaluation of scrotal masses. | journal=Am Fam Physician | year= 2014 | volume= 89 | issue= 9 | pages= 723-7 | pmid=24784335 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24784335  }} </ref>
*[[Lipoma]] (most common)
!Pin full
*[[Leiomyoma|Leiomyoma of the scrotum]]
!With or without pain
*[[Neurofibroma]]
!Non painfull
*[[Granular cell tumor]]
*Angiofibroblastoma-like tumor
*Fibrous pseudotumor
| style="padding: 0 5px; background: #F5F5F5" rowspan="6" |
*[[Metastasis]]
*[[Liposarcoma]]
*[[Leiomyosarcoma|Leiomyosarcoma of the scrotum]]
*[[Malignant fibrous histiocytoma|Malignant fibrous histiocytoma (MFH)]]
*[[Rhabdomyosarcoma]]
*[[Melanoma|Melanoma of the scrotum]]
|-
|-
| style="padding: 0 5px; background: #F5F5F5" |
|[[Testicular Cancer|Testicular tortion]]
*[[Seminoma]]
|[[Testicular cancer CT|Testicular cancer]]
*Embryonal cell carcinoma
|[[Hyaline|Hydrocele]]
*[[Yolk sac tumor]]
*[[Teratoma]]
*[[Teratocarcinoma]]
*[[Choriocarcinoma]]
*Diffuse embryoma
*[[Polyembryoma]]
*[[Placental site trophoblastic tumor]]
*Epitheloid trophoblastic tumor
*[[germ cell tumor|Mixed germ cell tumor]]
*[[Carcinoid]]
*[[PNET]] (Ewing's tumor of the testis)
|-
|-
! style="padding: 0 5px; background: #4479BA" align=center | {{fontcolor|#FFF|Sex-chord stromal tumors}}
|[[Testicular Cancer|Testicular appendage tortion]]
|[[Inguinal hernias]]
|[[Varicocele case study one|Varicocele]]
|-
|-
| style="padding: 0 5px; background: #F5F5F5" |
|[[Epididymal cyst|Epididimytis]]
*[[Granulosa cell tumor]]
|
*[[Leydig cell tumor|Leydig (interstitial) cell tumor]]
|[[Scrotal Swelling|Scrotal wall mass(skin cancer)]]
*Sertoli hyperplasia<br>
:(Sertoli adenoma, Pick's adenoma)
*Large cell calcifying Sertoli cell tumor
*Sclerosing Sertoli cell tumor
*Sertoli tumor, non-specific
*Sertoli-Leydig cell tumor (SLCT)
*Testicular tumor of andrenogenital syndrome<br>
:(testicular adrenal rest tumor)
|-
|-
! style="padding: 0 5px; background: #4479BA" align=center | {{fontcolor|#FFF|Other tumors}}
|[[Orchitis]]
|
|
|-
|-
| style="padding: 0 5px; background: #F5F5F5" |
|[[Hematocele|Hematocele or testicular rupture]]
*[[Fibroma]]
|
*[[Lymphoma]]
|
*[[Angiosarcoma]]
*[[Chondrosarcoma]]
*[[Hemangioma]]
*[[Mesothelioma]]
*[[Plasmacytoma]]
|}
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Disease]]
[[Category:Oncology]]
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Latest revision as of 19:49, 30 October 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Niloofarsadaat Eshaghhosseiny, MD[2]Sujit Routray, M.D. [3]

Overview

Scrotal massdeponds on intra testicular or extra testicular may be classified into 6 subtypes based on their anatomical origion.Based on the exictance of pain, scrotal mass may be classified as either painfull or non painfull. The staging of testicular cancer is based on the TNMS.

Classification

Scrotal mass(intratesticular or extratesticular) may be classified according to their anatomical origin into 6 groups:

Based on the pain existant , scrotal mass may be classified as either painfull or non painfull .[2] The staging of testicular cancer is based on the TNMS.[3] According table adapted from Department of Am Fam Physician. 2008 Nov 15;78(10):1165-1170.[4]

Classification of Scrotal mass by Anatomical place
Anatomical place Disease Natural history Pain Other symptoms
Skin Sebaceuse cyst

Squamouse cell carcinoma

Acute/chronic,stable

Chronic,progressive

No

No

__

__

Tunica vaginalis Hydrocele

,Hematocele

Acute /chronic,stable

Acute,caused by trauma

No

Yes

Transillumination

Does not transilluminate well

Processus vaginalis Indirect inguinal hernia

,Hydrocele

Acute/chronic,stable or progressive

Chronic ,stable

No,Yes if strangulated

No

By valsalva maneuvers may enlarge

Different sizes

Panpiniform plexus Varicocele Chronic ,stable No "Bag of worms"
Epididimysis Epididimysis

,Spermatocele

Acute ,progressive

Chroic,stable

Yes

No

May have UTI symptoms

__

Testis Testicular tortion,

Apendix testis tortion

Orchitis

Testicular cancer

Acute,progressive,

Acute,stable

Acute,self -limitted

Chronic,progressive

Yes

Yes

Yes

No

Increase pain by elevation of testis,cremastic reflex usually abcent

Blue dot sign

Decrease pain by elevation of testis

__

According table adapted from Am Fam Physician. 2014 May 1;89(9):723-727.[2]
Pin full With or without pain Non painfull
Testicular tortion Testicular cancer Hydrocele
Testicular appendage tortion Inguinal hernias Varicocele
Epididimytis Scrotal wall mass(skin cancer)
Orchitis
Hematocele or testicular rupture

References

  1. ↑ Tiemstra JD, Kapoor S (2008). "Evaluation of scrotal masses". Am Fam Physician. 78 (10): 1165–70. PMID 19035065. Check |pmid= value (help).
  2. ↑ 2.0 2.1 Crawford P, Crop JA (2014). "Evaluation of scrotal masses". Am Fam Physician. 89 (9): 723–7. PMID 24784335.
  3. ↑ Shaw J (2008). "Diagnosis and treatment of testicular cancer". Am Fam Physician. 77 (4): 469–74. PMID 18326165.
  4. ↑ Tiemstra JD, Kapoor S (2008). "Evaluation of scrotal masses". Am Fam Physician. 78 (10): 1165–70. PMID 19035065.
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