Diagnostic Accuracy of Ultrasound in Malignant Testicular Swelling & Its Management-A Study of 34 Cases

Testicular swelling is a lump or a growth (mass) involving the genitalia is a common presentation in outdoor patients ranging from young to old. Occur in one or both the testicles. Proper diagnosis can prevent unnecessary surgical exploration to a certain extent where larger groups of non-surgical acute testicular cases co-exist. Most testicular masses are malignant. The main dilemma lies in the diagnosis of the testicular Tumour, of which 99% of cases are malignant. A testicular lump that doesn't hurt may be a sign of cancer. (Bosl et al, 1981; prout et al, 1984). Although testicular tumour are relatively rare (having an incidence of about 0.01% of male), they are the most common solid tumour of managed 15-35 years and second most common of managed 35-40 years. The advent of Ultrasonography and its application for testicular masses has changed the picture in the recent past. A clinical pattern of malignant testicular swellings with ultrasound was carried out in the Deptt. of General and Laproscopic Surgery, VSSIMSAR, Burla, Odisha between 2016 to 2017.