Testicular Tumors (Testicular Malignancies): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore:
    • Inspection and palpation (palpation) of the mammae (mammary glands) [gynecomastia/enlargement of the male mammary gland].
    • Inspection and palpation of the abdomen (belly) [abdominal mass?); exclusion of supraclavicular lymph nodes (“above the clavicle/clavicle”)?, lymph nodes in the inguinal region (groin region)?, lymph node metastases?]
    • Inspection and palpation of the genitals (penis and scrotum; assessment of pubescence (pubic hair), penis (penile length: between 7-10 cm when flaccid; presence of: Indurations (tissue hardening), anomalies, phimosis/foreskin stenosis?) and testicular position and size (using orchimeter if necessary)). [coarse, painless unilateral swelling of the testis.]
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of prostate size, shape and consistency).
  • Health check (as an additional follow-up measure).

Square brackets [ ] indicate possible pathological (pathological) physical findings.