Scrotal mass classification: Difference between revisions
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*[[Epididymis]] | *[[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> | *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> | ||
Adapted from Department of Family Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois | *Adapted from Department of Family Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois | ||
{| class="wikitable" | {| class="wikitable" | ||
|+classification of scrotal masses by anatomical place | |+classification of scrotal masses by anatomical place | ||
Revision as of 16:40, 30 October 2019
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Scrotal Mass Microchapters |
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Treatment |
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Case Studies |
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Scrotal mass classification On the Web |
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American Roentgen Ray Society Images of Scrotal mass classification |
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Risk calculators and risk factors for Scrotal mass classification |
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 masses deponds on intra testicular or extra testicular may be classified into 6 subtypes based on their anatomical origion.Based on the exictance of pain, scrotal masses may be classified as either painfull or non painfull. The staging of testicular cancer is based on the TNMS.
Classification
Scrotal masses(intratesticular or extratesticular) may be classified according to their anatomical origin into 6 groups:
- Skin
- Tunica vaginalis testis
- Processus vaginalis testis
- Panpiniform plexus
- Epididymis
- Testis[1]
- Adapted from Department of Family Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois
| 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
|
Based on the pain existant , scrotal masses may be classified as either painfull or non painfull .[2] The staging of testicular cancer is based on the TNMS.[3]
References
- ↑ Tiemstra JD, Kapoor S (2008). "Evaluation of scrotal masses". Am Fam Physician. 78 (10): 1165–70. PMID 19035065.
- ↑ OʼReilly P, Le J, Sinyavskaya A, Mandel ED (2016). "Evaluating scrotal masses". JAAPA. 29 (2): 26–32. doi:10.1097/01.JAA.0000476208.04443.ca. PMID 26757064.
- ↑ Shaw J (2008). "Diagnosis and treatment of testicular cancer". Am Fam Physician. 77 (4): 469–74. PMID 18326165.