Testicular neoplasm diagnosed by ultrasound

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Abstract
The diagnosis of testicular cancer is usually made by the findings of a testicular mass on physical examination. in rare cases a young man will present with retroperitoneal nodes and a normal testicular examination. in such cases a testicular ultrasound may localize the testis which harbors a subclinical neoplasm. in addition serum markers of B‐HCG and AFP are essential. As a screening procedure a urine pregnancy test is helpful, since it can be obtained quickly while quantitative B‐HCG and APF results are delayed.