Abstract

Testicular malignancies, though less common neoplasms typically present in middle aged men. Some established risk factors such as cryptorchidism, in utero exposure to oestrogens and occupational risks are associated with them and often pose diagnostic challenges. Aims and Objectives: To study the incidence and histo-morphology of non-neoplastic and neoplastic lesions of scrotum (includes testis, epididymis, spermatic cord and tunica vaginalis) and to assess the trend and pattern of scrotal masses over 20 years. Materials and Methods: This is a single centre 20 years retrospective study on the incidence and distribution of scrotal masses between 15 to 80 years of age conducted in pathology department of a tertiary centre. Gross and histomorphological features of all specimens related to scrotal pathology were evaluated as per institutional protocol. Results: Around 433 scrotal masses were studied over a period of 20 years. Of which 289 were paratesticular masses, 82 cases (19%) were testicular masses and 62 cases (14%) were lesions of scrotal skin. Among 39 neoplastic testicular masses, 16 (41%) were classical seminoma and 14 (36%) were mixed germ cell tumors. Thus the incidence of neoplastic scrotal masses ranged from 0.01% to 0.1% per year and the incidence of non-neoplastic masses ranged from 0.2% to 0.4% per year. Conclusion: Majority of scrotal masses were non-neoplastic and seen between 16 to 35 years of age. Most of testicular neoplasms were germ cell tumour. Hydrocele, infective lesions and varicocele were the commonest lesions observed in tunica vaginalis, epididymis and cord structures respectively

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