Benign and malignant pediatric scrotal masses

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Abstract

Pediatric patients presenting with painless scrotal masses can be perplexing because of the long differential diagnosis. A careful plan based on the physical examination and sonogram findings localizes the mass to the testis or an extratesticular location. Sonography distinguishes solid from cystic lesions. Subsequent management is based on the location and nature of the mass. Intratesticular masses are assumed to be malignant, but testis- sparing surgery is possible in pediatric patients. Extratesticular cystic lesions are likely benign and are managed according to the specific diagnosis. Solid extratesticular lesions require exploration to establish the correct diagnosis.

Original languageEnglish (US)
Pages (from-to)1229-1250
Number of pages22
JournalPediatric clinics of North America
Volume44
Issue number5
DOIs
StatePublished - Jan 1 1997

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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