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unilateral enlargement of the testis in childhood
Tuesday 20 April 2010
Unilateral testicular enlargement in the pubertal boy is not an indication for exploration and biopsy, if the clinical features and investigations show no evidence of malignancy.
In the prepubertal boy, unilateral testicular enlargement is not necessarily an indication for exploration if there are no clinical or investigational grounds for suspicion of neoplasia. Close follow-up is essential. (2005529)
References
Unilateral benign testicular macro-orchidism in a child: decisions and dilemmas. Henderson CG, Pohl H, Schwartz RH. Clin Pediatr (Phila). 2006 Oct;45(8):765-7. PMID: 16968963
Unilateral enlargement of the testis in childhood: does it need exploration? MacMahon RA, Cussen LJ. J Pediatr Surg. 1991 Jan;26(1):68-9. PMID: 2005529
Unilateral testicular hypertrophy: an apparently benign occurrence without cryptorchidism. Lee PA, Marshall FF, Greco JM, Jeffs RD. J Urol. 1982 Feb;127(2):329-31. PMID: 6121060
