Testes and Scrotum MCQs

The c/f and the raised AFP levels are suggestive of a testicular tumor, probably a non-seminomatous germ cell tumor (NSGCT) and the next best step in management is high inguinal orchidectomy. Painless testicular enlargement: Testicular Tumor Syphilis Testicular tumors are of: Seminoma: most common type, with normal alpha fetoprotein and HCG, and mild elevation of LDH Non seminomatous: very high levels of alpha fetoprotein and HCG Transcrotal biopsy is contraindicated as it causes dissemination of tumor cells Next step in case of testicular tumor - chevassu's manuvere where testis is delivered by high inguinal orchidectomy

HIGH INGUINAL ORCHIDECTOMY is done for seminoma of testis or any other testicular tumor, because if operated via scrotum there is increased risk of dissemination of cancer cells. Option a) torsion testis- orchidopexy is done if the testis is viable Option c) fourniers gangrene: testis not affected in this condition, so ORCHIDECTOMY is not done Option d) hematocele initially aspiration is done, if recurrent excision of the cyst is done

Ectopic testis: an ectopic testis is one that has ended up away from the normal path of descent. The commonest site is the superfcial inguinal pouch, just inferior and medial to the superfcial inguinal ring. Other rarer ectopic sites include the femoral triangle, root of the penis and perineum