Abstract
When evaluating a patient with a scrotal mass, a careful history and inguinoscrotal examination are necessary. Malignant scrotal wall, paratesticular, or spermatic cord tumors are rare. Scrotal ultrasound can confirm the precise location of a mass or rule out the presence of an inguinal hernia. Testicular masses deserve a formal workup, with serum tumor markers, a scrotal ultrasound as needed, and prompt consultation with a urologist for further staging and intervention. Scrotal masses in children are much rarer than in adults and should be evaluated by a urologist.
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