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July 18, 1977

Epididymitis and Testis Tumor

JAMA. 1977;238(3):244-245. doi:10.1001/jama.1977.03280030050024

EPIDIDYMITIS is a disorder commonly seen in young, sexually active men. In the preantibiotic era, epididymitis was a frequent sequel to gonococcal urethritis. Now it is seen most often as a nonspecific infection, yielding sterile urine cultures.1-3 Malignant tumor of the testis, although an uncommon neoplasm, is the second most frequent malignant growth in young adult men next to leukemia.4

The differential diagnosis between epididymitis and testis tumor can be difficult, as illustrated in the following case report.

Report of a Case  A 36-year-old man was admitted to the Portsmouth Naval Hospital because of tender swelling of the right scrotal contents for approximately one week. He had no fever, chills, or dysuria.On initial examination there was inflammation of the epididymis and vas on the right side. The patient was treated with bed rest, scrotal elevation, oral tetracycline and oxyphenbutazone. He responded well to treatment and was discharged