A 30 years old male came to OPD with palpable mass in relation to testis. On examination, the testis was enlarged and the mass was hard. What is the next best step?: (A) Ultrasound, (B) FNAC, (C) Biopsy, (D) High inguinal orchidectomy
Answer is A. Any mass in relation to testis is considered malignant unless proved otherwise. FNAC is contra-indicated, in order to avoid involvement i.e seeding and local invasion inguinal nodes of scrotal wall bytesticular tumors. IOC: Ultrasound: Hypoechoic mass in relation to testis - Tx High Inguinal Orchidectomy High Inguinal Orchidectomy: On the basis of suspicion itself Orchidectomy performed close to Deep Ring