Scrotal mass differential diagnosis: Difference between revisions

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!Scrotal Swelling
!Scrotal Swelling
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
| rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
| colspan="9" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
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! colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings
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! colspan="5" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings
| colspan="1" rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard'''
| colspan="1" rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard'''
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Additional findings
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Additional findings
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| rowspan="11" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Painful
| rowspan="11" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Painful
| colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms'''
| colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms'''
! colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical examination
! colspan="5" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical examination
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! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Past Medical History
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Past Medical History
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Histopathology
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Histopathology
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Unilateral /Bilateral swelling
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Unilateral /Bilateral swelling
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Onset
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Urinary symptoms
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Urinary symptoms
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Tenderness
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Erythema
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Erythema
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Tenderness
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Discharge
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Discharge
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inguinal Lymphadenopathy
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inguinal Lymphadenopathy
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Urine Analysis
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Urine Analysis
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Doppler U/S
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Doppler U/S
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Epididymoorchitis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Epididymoorchitis]]
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|[[Fourniers gangrene|Fournier's gangrene]]
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!Diseases
!Diseases
!Unilateral /Bilateral swelling
!Unilateral /Bilateral swelling
!Lab 3
! colspan="1" rowspan="1" |Fever
! colspan="1" rowspan="1" |Fever
!Urinary symptoms
!Urinary symptoms
!Tenderness
!Erythema
!Erythema
!Tenderness
! colspan="1" rowspan="1" |Discharge
! colspan="1" rowspan="1" |Discharge
!Inguinal Lymphadenopathy
!Inguinal Lymphadenopathy
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!Urine Analysis
!Urine Analysis
!Doppler U/S
!Doppler U/S
!Lab 3
!Past Medical History
!Past Medical History
!Histopathology
!Histopathology
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[[Category:Disease]]
[[Category:Disease]]

Revision as of 17:08, 22 January 2019

Scrotal Mass Microchapters

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

Overview

Scrotal masses may be differentiated according to clinical features, laboratory findings, imaging features, histological features, and genetic studies from other diseases that cause testicular mass with discomfort, back pain, abdominal discomfort, or abdominal mass. Common differential diagnoses include yolk sac tumor, teratoma, choriocarcinoma, embryonal cell carcinoma, seminoma, and testicular lymphoma (usually non-Hodgkin lymphoma).

Differential Diagnosis

The table below summarizes the findings that differentiates scrotal mass according to the clinical features, laboratory findings, imaging features, histological features, and genetic studies.[1][2]

Scrotal Swelling Diseases Clinical manifestations Para-clinical findings Gold standard Additional findings
Painful Symptoms Physical examination
Lab Findings Past Medical History Histopathology
Unilateral /Bilateral swelling Onset Fever Urinary symptoms Tenderness Erythema Discharge Inguinal Lymphadenopathy Cremasteric Reflex Urine Analysis Doppler U/S
Epididymoorchitis +
Testicular Torsion +
Torsion of testicular appendix +
Hematocele +
Incarcerated Hernia -
Testicular Abcess -
Brucellosis -
Mumps -
Histoplasma
Gonorrhea
Fournier's gangrene
Scrotal Swelling Diseases Unilateral /Bilateral swelling Lab 3 Fever Urinary symptoms Tenderness Erythema Discharge Inguinal Lymphadenopathy Cremasteric Reflex Urine Analysis Doppler U/S Past Medical History Histopathology Gold standard Additional findings
Painless Fragile XMacroorchidism - +
Testicular Tumors - +
Henoch-Schonlein purpura - -
Hydrocele - -
Varicocele - -
Spermatocele - -
Inguino-scrotal hernia - -
Scrotal edema - -
Epididymal cyst
Scrotal oedema
Sebaceous cyst
Carcinoma of the scrotum
Chylocele (Filariasis)
Cystic dysplasia
Srotoliths

References

  1. ↑ 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
  2. ↑ 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
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