10th June 2021

A middle-aged man comes to see you as he has noticed a lump on one of his testicles

A middle-aged man comes to see you as he has noticed a lump on one of his testicles. He is unsure how long it has been present for as it causes no pain; he only noticed it recently. On examination, there is a small palpable lump in the epididymis, separate to the testis. It is non-tender, soft and fluctuant. He has no associated symptoms and generally feels well in himself.

Which of the below is the most likely cause of this patient’s presentation?

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