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Prep4USMLE » USMLE Step 2 CK Forum » Surgery Forum » Comments on painless mass in scrotum


 painless mass in scrotum  



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sweetybokhari

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Jan 18, 2007 - 5:36 PM       #1

M.55 yrs with painless mass in scrotum(2cm) transillumination is positive.diagnosis?
1-hydrocele
2-spermatocele
3-hernia
4varicocele
5-testicular caconfused


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sarika

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Jan 18, 2007 - 6:22 PM       #2

3-hernia



fox

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Jan 18, 2007 - 11:37 PM       #3

2. spermatocoele?


vanshita

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Jan 19, 2007 - 9:49 AM       #4

hydrocele?


fox

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Jan 19, 2007 - 11:45 AM       #5

Sorry.....yes its probably hydrocoele



robin082006

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Jan 19, 2007 - 12:02 PM       #6

hydrocele


anjushree

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Jan 19, 2007 - 2:18 PM       #7

hydrocele


sweetybokhari

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Jan 19, 2007 - 5:31 PM       #8

thanks everyone,the answer given is hydrocele but no explanation why hydrocele?can anyone give explanation why not spermatocele because hydrocele and spermatocele both are transillumination positive .and spermatocele occour in older age. please can any one clear to me .thanks


Guptashutosh

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Jan 20, 2007 - 10:35 AM       #9

spermatocele they will decribe th feel ``bag of worms`` ; secondly -if not atleast they will specify that the mass is on the LEFT side.... ; third thing is that the mass with spermatocele regress with supination which may be mentioned in Q .... these r the clues to reach thew diag of spermatocele.......miss sweety Good Luck


sweetybokhari

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Jan 20, 2007 - 11:17 AM       #10

thanks a lot,now it clear to me,i really appreciate.smiling facesmiling facesmiling face


fox

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Jan 20, 2007 - 8:17 PM       #11

Guptashutosh wrote:
spermatocele they will decribe th feel ``bag of worms`` ; secondly -if not atleast they will specify that the mass is on the LEFT side.... ; third thing is that the mass with spermatocele regress with supination which may be mentioned in Q .... these r the clues to reach thew diag of spermatocele.......miss sweety Good Luck





Sorry I beg to differ.....I think what you are describing is a varicocoele.....not a spermatocoele.



chemamr

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Jan 21, 2007 - 1:52 PM       #12

bag of worms: varycocele

this question looks like hydrocele. I dont know why not spermatocele, is it less frequent?, dont know


ricardoricardo

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Apr 11, 2009 - 12:36 PM       #13

Hydrocele transluminate and u cant palpate the swelling seperat from the testes.
Spermatocele the testes can be palpated separatly from the swelling.
&i think (not sure) it doesnt transluminate





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