Abstract
The most common presentation of testicular cancers is a painless and firm testicular mass. However in 20–27 % of cases, the first symptom is scrotal pain [1] caused by the stretching of the tunica albuginea by intratumour infarction or haemorrhage from a rapidly growing vascular tumour. This presentation is more common with NSGCTs than with seminoma. Occasionally, trauma to the scrotum may incidentally bring into attention the presence of a testicular mass. In about 10 % of cases, a testicular tumour can mimic epididymo-orchitis, with consequent delay of the correct diagnosis.
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References
Durand X, Rigaud J, Avancès C, et al. Les membres du CCAFU. CCAFU recommendations 2013: testicular germ cell cancer. Prog Urol. 2013;23(Suppl 2):S145–60.
Conkey DS, Howard GC, Grigor KM, McLaren DB, Kerr GR. Testicular sex cord-stromal tumours: the Edinburgh experience 1988–2002, and a review of the literature. Clin Oncol (R Coll Radiol). 2005;17(5):322–7.
Stephenson AJ, Gilligan TD. Chapter 31. Neoplasms of the testis. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology, vol. 1. 10th ed. Philadelphia: Elsevier Saunders; 2012. p. 837–70.
Wanderås EH, Tretli S, Fosså SD. Trends in incidence of testicular cancer in Norway 1955–1992. Eur J Cancer. 1995;31A(12):2044–8.
Paño B, Sebastià C, Buñesch L, Mestres J, Salvador R, Macías NG, Nicolau C. Pathways of lymphatic spread in male urogenital pelvic malignancies. Radiographics. 2011;31(1):135–60.
Daugaard G, Karas V, Sommer P. Inguinal metastases from testicular cancer. BJU Int. 2006;97:724–6.
Wheeler Jr JS, Babayan RK, Hong WK, Krane RJ. Inguinal node metastases from testicular tumours in patients with prior orchiopexy. J Urol. 1983;129:1245–7.
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© 2015 Springer International Publishing Switzerland
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Al-Hooti, Q.M., Al-Mamari, S.A. (2015). Clinical Presentation of Testicular Tumours and Spreading Patterns. In: Al-Mamari, S., Al-Busaidy, S. (eds) Urological Cancer Management. Springer, Cham. https://doi.org/10.1007/978-3-319-16301-7_19
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DOI: https://doi.org/10.1007/978-3-319-16301-7_19
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