28th August 2020

A 42-year-old man attends his GP surgery with a small mass in his right scrotum

A 42-year-old man attends his GP surgery with a small mass in his right scrotum. On inspection, the scrotum is normal in appearance, but there is a small, soft and smooth mass at the superior aspect of the testis on palpation. So far, the GP’s differential diagnoses include a spermatocele, germ cell tumour, torsed testicular appendage, and inguinal hernia.

Which signs on further examination would suggest a diagnosis different to a spermatocele?

Which THREE of the following are correct? Select THREE options only.