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Answer :
Final answer:
The most appropriate management for a 28-year-old man with an identified testicular mass is a Radical inguinal orchiectomy, which is the removal of the affected testis. A biopsy is not recommended because it could spread cancer cells into the scrotum. Testicular cancer is highly curable and normal function can be maintained with just one healthy testis.
Explanation:
In your case, the 28-year-old man with a right testicular swelling and a 5-cm right testicular mass confirmed by scrotal ultrasonography, the most appropriate management would be Radical inguinal orchiectomy.
Testicular cancer is diagnosed through the detection of a lump and often confirmed by ultrasound. It's important to note that unlike the case with prostate cancer, a biopsy is not recommended, as it might increase the risk of cancer cells spreading into the scrotum.
Testicular cancer is most common in young men and is treatable with one of the highest cure rates of any cancer. The initial treatment typically is surgery to remove the affected testis, known as orchiectomy. If just one testis is surgically removed, and the remaining testis is healthy, normal functions such as fertility and hormone production can be maintained.
Learn more about Testicular Cancer Management here:
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