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Gregory S. Slater, M.D.; Herbert Schultz, M.D.; Walter B. Kreutzmann, M.D.
JAMA. 1955;157(11):911-912. doi:10.1001/jama.1955.02950280035010e.
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It is the routine procedure today to include an inspection and palpation of the external genitalia during the course of a physical examination. Such a practice will usually reveal the presence of any testicular irregularity or nodularity that is indicative of the probable presence of a tumor of the testis. In this case the testicular tumor was first manifest by the presence of a large solitary metastatic mass in the left retroperitoneum, and the primary tumor could not be detected on physical examination.


A 55-year-old white male office worker consulted one of us (H. S.) because of a painless swelling of his left lower extremity of three weeks' duration. Examination revealed a large, hard mass occupying the left lower quadrant. Roentgenographic gastrointestinal studies and barium enema showed no abnormality of the gastrointestinal tract but did show a space-occupying mass in the left lower quadrant. An excretory


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