Scrotal mass causes
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Scrotal Mass Microchapters |
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Scrotal mass causes On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2], Sujit Routray, M.D. [3]
Overview
Scrotal mass may be caused by tumor, infection, injury, inflammation, or fluid buildup, which can cause different types of masses.[1]
Causes
Common Causes
Scrotal mass may be caused by tumor, infection, injury, inflammation, or fluid buildup, which can cause different types of masses.[1]
Causes by Anatomic Origin
| Scrotal Mass Adapted from American Academy of Family Physicians[2] | ||||
|---|---|---|---|---|
| Anatomical Origin | Lesion/Condition | Onset/Progression | Pain/Tenderness | Aggravating/Alleviating Factors, Associated Symptoms |
| Skin | Sebaceous cyst | Acute/chronic, stable | No | --- |
| Squamous cell carcinoma | Chronic, progressive | No | --- | |
| Tunica vaginalis testis | Hydrocele | Acute/chronic, stable | No | Positive transillumination |
| Hematocele | Acute, caused by trauma | Yes | Negative transillumination | |
| Processus vaginalis testis | Indirect inguinal hernia | Acute/chronic, stable or progressive | No; yes, if strangulated | May enlarge with Valsalva-type maneuvers; size may fluctuate |
| Hydrocele | Chronic, stable | No | --- | |
| Pampiniform plexus | Varicocele | Chronic, stable | No | Characteristic "bag of worms" consistency |
| Epididymis | Epididymitis | Acute, progressive | Yes | May have symptoms of urinary tract infection (fever, chills, dysuria, frequency, and urgency) |
| Spermatocele | Chronic, stable | No | --- | |
| Testis | Testicular torsion | Acute, progressive | Yes | Elevation of testis may aggravate pain; abnormal testicular lie; cremasteric reflex usually absent |
| Appendix testis torsion | Acute, stable | Yes | Blue dot sign | |
| Orchitis | Acute, self-limited | Yes | Elevation of testis may relieve pain, may have systemic symptoms of viral illness | |
| Testicular cancer | Chronic, progressive | No | --- | |
Causes by Organ System
| Cardiovascular | No underlying causes |
| Chemical / poisoning | No underlying causes |
| Dermatologic | Sebaceous cyst |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | Thrombosis spermatic vein |
| Iatrogenic | No underlying causes |
| Infectious Disease | Mumps, Filariasis, Leprous, Orchitis, Syphilitic gumma, Tuberculosis, Amebiasis, Epididymitis, Granulomatous epididymitis, Seminal vesiculitis |
| Musculoskeletal / Ortho | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | Benign: Germ cell tumor, Teratoma, Thecoma, Sertoli-Leydig cell tumor, Fibroma, Chimney sweeps' carcinoma, Epididymis cyst, Seminal vesicle cyst, Urethral gland cyst
Malignant: Germ cell tumor, Seminoma, Embryonal carcinoma, Yolk sac tumor, Choriocarcinoma, Teratoma, Granulosa cell tumor, Sertoli-Leydig cell tumor, Adenocarcinoma, Mesothelioma, Rhabdomyosarcoma, Chimney sweeps' carcinoma, Diffuse large B-cell lymphoma Metastatic tumors: Diffuse large B-cell lymphoma |
| Opthalmologic | No underlying causes |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | No underlying causes |
| Rheum / Immune / Allergy | No underlying causes |
| Sexual | No underlying causes |
| Trauma | Testicular injury, Testicular hematoma, Spermatic cord injury, Fracture of testis |
| Urologic | Hematocele，Hydrocele，Spermatocele, Varicocele, Testicular torsion, Epididymis torsion, Spermatic cord torsion, Inguinal hernia, Richter hernia, Femoral hernia, Incarcerated hernia, Irreducible hernia, Strangulated hernia, Testicular abscess, Scrotum abscess, Idiopathic scrotal edema, Seminal vesicle calculus |
| Miscellaneous | No underlying causes |
References
- ↑ 1.0 1.1 Causes of scrotal masses. The Urology Group 2016. http://urologygroup.com/conditions-we-treat/scrotal-masses/. Accessed on March 17, 2016
- ↑ Scrotal mass. American Academy of Family Physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 18, 2016