A 35 year old man with painless left testicular enlargement for the past 6 months which is increasing in size and 3 times larger than the right side. There is no tenderness or redn... A 35 year old man with painless left testicular enlargement for the past 6 months which is increasing in size and 3 times larger than the right side. There is no tenderness or redness. What is the most likely diagnosis? a. Testicular tumor b. Hydrocele c. Epididymal cyst d. Epididymo-orchitis e. Reassure
Understand the Problem
The question is asking for the most likely diagnosis related to a specific medical condition presented in a clinical vignette. The key concepts include testicular enlargement, pain characteristics, size comparison, and absence of associated symptoms which guide the differential diagnosis.
Answer
Testicular tumor.
The most likely diagnosis is a testicular tumor.
Answer for screen readers
The most likely diagnosis is a testicular tumor.
More Information
The case of a 35-year-old man presenting with painless and progressive enlargement of the testicle is highly suggestive of a testicular tumor, as this is a common presentation for testicular cancer.
Tips
A common mistake is to assume any painless swelling must be benign, but painless swelling can also indicate a tumor.
Sources
- Testicular Swelling, Swollen Testicle Causes, Hydrocele - healthcare.utah.edu
- Hydrocele - Symptoms and causes - Mayo Clinic - mayoclinic.org
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