28th August 2020

A 60-year-old man presents to his GP after noticing a small mass in his right scrotum

A 60-year-old man presents to his GP after noticing a small mass in his right scrotum. It does not cause him any pain and tends to decrease in size when he is lying flat. The man has a past medical history of COPD, type two diabetes and hypertension. His repeat medications include salmeterol, metformin, ramipril and methylcellulose. He is a smoker and used to work delivering large parcels. On examination, there is a small, soft mass at the superior aspect of the scrotum that resembles a spermatocele.

Which differential diagnosis is important to consider given this man’s history?

Select the SINGLE most appropriate diagnosis from the list below. Select ONE option only.