Shyam, a 50 years old male presents with a hard scrotal swelling. All of the following can be done EXCEPT :: (A) Testicular biopsy, (B) Chest x-ray, (C) Inguinal exploration, (D) CT abdomen
Answer is A. Ans. is 'a' ie. testicular biopsy (Ref Harrison, 17/e p601 (16/e p550, 15/e p617))As already explained in Nov. 2001 paper.a testicular biopsy (more specifically a trans-scrotal testicular biopsy) is not done, rather is contraindicated.A suspected scrotal mass is investigated by ultrasonography on finding a testicular mass, a radical inguinal orchiectomy is done. A trans-scrotal testicular biopsy would breach anatomical barriers and would spread the tumor.