Scrotal tumors can be classified as intratesticular tumors, such as testicular cancer; and extratesticular tumor, such as leiomyomas that may originate from any body structure containing smooth muscle.
Painless or painful bulge or lump noted within the scrotum
A feeling of heaviness in the scrotum
A dull ache in the lower abdomen or in the groin
Enlargement or tenderness of the breasts
Infertility may occur
A physical examination shows a mass within the scrotum.
An ultrasound evaluation of the scrotum
A biopsy of mass
Blood test: Alpha-fetoprotein, testosterone, human chorionic gonadotropin, estriol, 17-ketosteroids may be altered