Painful Scrotal mass

Chief Complaint A 39 y/o male presented with a scrotal mass for 8 months and causing pain for 10-15 days. History He also has h/o multiple nodules over the head and back. Vitals Vitals are wnl. Investigations Tuberculin skin test negative. CT-Brain shows lesions in the frontotemporal region CT ultrasound of the scrotum shows an enlarged epididymis. Treatment Advise the management of the case.

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Malignant tumour with metastasis as suggested by CT brain. Needs further investigation and evaluation to conclude particularly Biopsy and FNAC Chemotherapy or Radiotherapy after surgical intervention. Constant and evaluation required.

Thanks Dr Dinesh Gupta
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From history it appears to be a c/o malignant tumour with metastasis in brain as ct brain suggests Confirm by biopsy or fnac Take an opinion of oncologist

Thanx dr Kute Ankush
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HPE is suggested as high chances of Secondary of Malignant brain tumour. Surgical intervention....Chemo...Radiotherapy would be required under the supervision and guidance of Oncologist.

SUGGESTIVE. OF 1. ENLARGED. EPIDIDYMUS 2. NEUROFIBROMATOSUS.... NF ON. HEAD. AND. NECK.....??? 3. BRAIN. LESIONS. IN. FRONTO TEMPORAL. REGION. POSSIBLY SECONDARILY. TO N. F. 1 / N F 2

? CARCINOMA .. WITH.. SECONDARIES..

Tnx Dr Ashok Leel sir
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Germ cell tumour 8 to 15 percent spread in brain Petscan Biopsy HP Opinion of onco

Malignancy With metastasis Ref to onchologist

Malignancy..and .. Metastasis.. Experts opinion for further management.

Maliganant tumore Adv by oncologist sir

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