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| __NOTOC__
| | #redirect [[scrotal mass]] |
| {{Infobox_Disease |
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| Name = {{PAGENAME}} |
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| Image = Testes lymphoma.jpg|
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| Caption = Testes: Lymphoma. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>|
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| }}
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| {{Scrotal masses}}
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| {{SCC}},[[User:C Michael Gibson |C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com]
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| ==Overview==
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| A mass in the scrotum can be in the contents of the scrotum, the wall, or the scrotum itself. All scrotal masses should be evaluated via surgical investigation. Scrotal masses are separated into two categories: Painful and nonpainful masses.
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| [[Torsion]] is painful and may require surgical intervention. Scrotal swelling that does not contain a mass is most likely associated with a different medical condition such as [[heart failure]] or [[edema]].
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| NOTE:ALL INTRATESTICULAR MASSES ARE CONSIDERED CANCER UNLESS PROVEN OTHERWISE.
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| == Diagnosis ==
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| === MRI and CT ===
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| *Abdominal CT if solid mass is found.
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| ====MRI Findings====
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| === Echocardiography or Ultrasound ===
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| *Ultrasound should be performed on all patients.
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| *Doppler if suspicion of torsion.
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| === Other Diagnostic Studies ===
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| *If solid mass found consider serum [[tumor markers]], [[LDH]], [[electrolytes]], [[BUN]] / [[creatinine]].
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| *Urology consult
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| == Treatment ==
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| ===Torsion===
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| *Considered an emergency.
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| *Penetrate [[spermatic cord]] with 10-20mL 1% [[lidocaine]] and gently twist testicles to the left and right.
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| *Relief should be evident immediately upon relief of torsion.
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| *Surgery is indicated if unsuccessful.
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| === Acute Pharmacotherapies ===
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| ====Epididymitis====
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| *Treat with antibiotics and analgesics.
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| ====Orchitis====
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| *Treat with antibiotics and analgesics.
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| ==References==
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| {{Reflist|2}}
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| [[Category:Surgery]]
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| [[Category:Urologic Disease]]
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| [[Category:Signs and symptoms]]
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| [[Category:Emergency medicine]]
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| [[Category:Primary care]]
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| {{WH}}
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| {{WikiDoc Sources}}
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