A 20-year-old male presents with hard painless testicular swellingon investigation AFP is 3080. No paraaoic or iliac nodes as well as no mediastinal lymph nodes found. usG shows uniform echotexture and small areas of necrosis surrounding structures are normal.What is the next best steP:
FNAC
Trucut bioPsY
High inguinal orchidectomy
PET-CT
Ans. C. High inguinal orchidectomyRe.f: Sabiston textbook of surgery,2AI' ed., ch-72, pg. 2102-2104Initial treatment of suspected testicular tumour is radical inguinal orchiectomy, which involves removal of the testicle and sperrnatic cord at the level of the inguinal ring.Because of the characteristic and well-described lymph drainage of the testicle there is no role or trans-scrotal biopsy or orchiectomy.