Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a painless, slow-growing scrotal mass, typically located at the superior pole of the epididymis. Denies acute pain, fever, or urinary symptoms. No history of trauma or recent infection. Mass noted incidentally or via self-palpation.
Clinical Examination Findings
Scrotal examination reveals a firm, well-circumscribed, non-tender, mobile nodule, typically <2cm, arising from the epididymis. Transillumination is negative (solid mass). Testis is separate from the mass and normal in consistency. No associated hydrocele or inguinal lymphadenopathy.
Treatment Protocol
Surgical excision via scrotal approach is the gold standard. The tumor is typically enucleated from the epididymal tissue while preserving the testis and blood supply. Histopathological confirmation is mandatory post-excision. Follow-up scheduled for 6 weeks post-operatively to ensure wound healing.