QuestionSBA
QuestionChoice
This is inappropriate management as the history of an irregular, fixed and non-tender lump in a young male is highly suspicious for testicular cancer and they should therefore be referred as part of a two week wait pathway.
10028374
d
Reassure the patient and advise them to return in 3 months if the mass has not resolved
QuestionChoice
This would be inappropriate management as the patient’s history is more concerning for testicular cancer. They also have no symptoms suggesting epididymo-orchitis (e.g. dysuria, urethral discharge or fever).
10028375
e
Refer to the local sexual health clinic for probable epididymo-orchitis
QuestionChoice
Biopsy is rarely done in the case of suspected testicular cancer as it can increase risk of spread by seeding.
10028373
c
Arrange biopsy of the mass
QuestionChoice
This scenario is concerning for testicular cancer as there is a fixed, irregular and non-tender swelling. The most appropriate management is therefore a two-week wait referral to Urology and potentially taking blood tests for tumour markers (e.g. AFP, hCG and LDH).
10028371
a
Two week wait referral
QuestionChoice
Whilst this might be arranged if the patient is found to have testicular cancer, it would be inappropriate to carry out before a diagnosis of cancer was confirmed.
10028372
b
Arrange CT CAP
Concept
Chapter
2693
3842
Testicular Cancer
Topic
143
Urology
18072
A fixed, irregular, non-tender testicular mass in a young male warrants a two-week wait referral for suspected testicular cancer.
A 23-year-old male has a lump on his right testis.

On examination, there is a 3mm fixed and irregular mass on the anterior aspect of the right testis. It is non-tender.

He has no other past medical history.

What is the most appropriate initial management?
a