Paratesticular Tumours

SUMMARY One hundred and fourteen cases of paratesticular tumour are reviewed. The young patient with a rapidly growing tumour usually has a rhabdomyosarcoma, many of which have already metastasised at the time of presentation. Of the other malignant paratesticular tumours approximately 25 per cent, are manifestations of generalised malignant disease and are often metastases. The presence of a hydrocele in association with a paratesticular tumour is usually an indication that the tumour is malignant. In patients where the history and clinical findings are indicative of an adenomatoid tumour, there may well be a place for local excision of the tumour.