A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of pain and heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the right testicle
The right scrotum is erythematous, and inguinal lymph nodes are palpable. The clinician should order a(n) ____ to evaluate this finding.
A. Ultrasound of the scrotum
B. CT scan of the pelvis
C. Pelvic x-ray
D. Digital rectal exam
ANS: A
The ultrasound is considered an extension of the physical examination in the case of a suspected testicular mass; a scrotal ultrasound can quickly and accurately distinguish a tumor from other intrascrotal pathologies.
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