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