Tumors of the testicle are fairly often seen in genitourinary practice, but their diagnosis is not always a simple matter. Especially is this true of malignant growths, because of their close clinical resemblance to tuberculous and syphilitic deposits. Hence the interest in the unusual case herein reported.
When a man presents himself with an abnormally large testicle or a large mass in the scrotum, we have to think of numerous conditions that might be causative factors, and as a matter of clinical interest I have enumerated the following formidable list of possible conditions that must be thought of: Tuberculosis, syphilis, malignant and benign growths, inflammatory and noninflammatory orchitis and epididymitis, hydrocele, varicocele, hematocele, spermatocele, cystic growths, torsion of the testicle, intestinal hernia, contusions and wounds of the testicle, hemorrhagic infarcts of the testis, fungus, and general hypertrophy of the testicle.
Most of these conditions are easily diagnosed. Thus, varicocele is