Keywords:

  • 16 yo male
  • enlargement of right testes
  • gradually increasing in size – 4 months
  • no pain
  • no trauma
  • firm in consistency, non tender on palpation
  • tumour markers carried out
  • right orchidectomy carried out
  • counselled on future management

Hypothesis

  • Testicular cancer
  • Lymphatic blockage
    • filariasis
  • seminoma
  • Hypertrophy
  • Inflammation
  • Hydrocele

Extra learning issues

Tumour markers

AFP, hCG

Blood supply of testes

Testes: testicular arteries (from abdominal aorta)

Scrotum & the rest: internal pudendal artery

Lymphatic drainage

Testes: para-aortic lymph nodes

Scrotum: inguinal lymph nodes

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