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Surgery Urethra & Penis 03c49a9c

During a workup for infertility, a 34-year-old man is noted to have a solid tumor in the anterior aspect of his right testis. What is the most likely diagnosis?

A
Torsion of the testis
B
Cyst of the epididymis
C
Lipoma of the cord
D
Cancer of the testis
High-Yield Explanation
Non-hematogenous testicular tumors are divided into two categories - germ cell tumors (seminoma, non-seminoma, i.e., embryonal, choriocarcinoma, teratoma, teratocarcinoma, yolk sac tumors) and non-germ cell tumors (Leydig cell or Sertoli cell). There is no mass within the testis with torsion. Epididymitis presents within painful tender testis.

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