Prepubertal Testicular and Paratesticular Tumors Clinical Presentation

Updated: Mar 16, 2022
  • Author: Christopher S Cooper, MD, FACS, FAAP; Chief Editor: Marc Cendron, MD  more...
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About 85% of children with testicular tumors present with painless scrotal swelling. A few present with a hydrocele, scrotal pain, or a history of trauma, any of which probably alerts the child to the presence of a painless and enlarged testicle.

About 10-25% of patients with a malignant tumors present with a hydrocele.


Physical Examination

Physical examination usually reveals a painless scrotal swelling with a hard mass or associated hydrocele. However, normal physical findings are not sufficient to exclude a tumor.

Some hormonally active tumors may appear in association with precocious puberty or gynecomastia.