Fast Five Quiz: Testicular Cancer

Elwyn C. Cabebe, MD

Disclosures

June 15, 2021

According to guidelines from the AUA, a solid mass in the testis identified by physical exam or imaging should be managed as a malignant neoplasm until proven otherwise. In addition, the guidelines specify the following:

  • Scrotal ultrasound with Doppler should be obtained in patients with a unilateral or bilateral scrotal mass suspicious for neoplasm.

  • Testicular microlithiasis in the absence of solid mass and risk factors for developing a germ cell tumor does not confer an increased risk for malignant neoplasm and does not require further evaluation.

  • Patients with normal serum tumor markers and indeterminate findings on physical examination or testicular ultrasonography for testicular neoplasm should undergo repeat imaging in 6-8 weeks.

  • MRI should not be used in the initial evaluation and diagnosis of a testicular lesion suspicious for neoplasm.

Read more about imaging studies in testicular cancer.

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