A 31-year-old male presents with a lump in his right testicle. He complains that it is uncomfortable while walking and describes a dragging sensation. He also complains of generally feeling ‘run down’ but puts this down to stress at work, and has an irritable cough. He is a smoker of 20 cigarettes a day. Physical Examination: On examination, a 3-cm palpable lump is felt on the inferior aspect of the right testicle. The rest of the testis and epididymis can be felt separately, and the mass does not transilluminate.

It is not particularly tender to palpation. Abdominal examination is unremarkable. His urinalysis report is also clear. What is the probable diagnosis in this case? Which investigations are necessary? *This case is from Docplexus Editorial Team for educative purpose only Source: 100 Cases In Surgery