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Self-Assessment Questions


Answer 5
  1. Scrotal ultrasonography. A hydrocele may be present in patients with testicular cancer and may increase the difficulty of detecting the neoplasm. Ultrasonography of the scrotum is a rapid and reliable technique to exclude epididymitis from the diagnosis and should be utilized with patients in whom a testicular tumor is suspected. Before antibiotic treatment is initiated, the possibility of a testicular tumor should be excluded. Needle aspiration of the hydrocele should be discouraged, because it would alter the pattern of metastatic spread in the event that a testicular tumor is present.

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