Scrotal mass classification
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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]
| Anatomical place | Disease | Natural history | Pain | Other symptoms |
|---|---|---|---|---|
| Skin | Sebaceuse cyst | Acute/chronic,stable | No
No |
__
__ |
| Tunica vaginalis | Hydrocele | Acute /chronic,stable | No
Yes |
Transillumination
Does not transilluminate well |
| Processus vaginalis | Indirect inguinal hernia | Acute/chronic,stable or progressive | No,Yes if strangulated
No |
By valsalva maneuvers may enlarge
Different sizes
|
| Panpiniform plexus | Varicocele | Chronic ,stable | No | "Bag of worms" |
| Epididimysis | Epididimysis | Acute ,progressive | Yes
No |
May have UTI symptoms
__ |
| Testis | Testicular tortion, | Acute,progressive, | Yes
Yes Yes No |
Increase pain by elevation of testis,cremastic reflex usually abcent
Decrease pain by elevation of testis __ |
| 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
- ↑ Tiemstra JD, Kapoor S (2008). "Evaluation of scrotal masses". Am Fam Physician. 78 (10): 1165–70. PMID 19035065. Check
|pmid=value (help). - ↑ 2.0 2.1 Crawford P, Crop JA (2014). "Evaluation of scrotal masses". Am Fam Physician. 89 (9): 723–7. PMID 24784335.
- ↑ Shaw J (2008). "Diagnosis and treatment of testicular cancer". Am Fam Physician. 77 (4): 469–74. PMID 18326165.
- ↑ Tiemstra JD, Kapoor S (2008). "Evaluation of scrotal masses". Am Fam Physician. 78 (10): 1165–70. PMID 19035065.