A patient presented with a hard swelling in this right testis. All are true statements except:
**Core Concept**
Trans scrotal biopsy is generally avoided in cases of suspected testicular cancer due to the risk of tumor spillage and seeding along the biopsy tract. A high inguinal orchiectomy is the preferred approach to obtain an intact specimen for histopathological examination.
**Why the Correct Answer is Right**
The correct answer is **A. Trans scrotal biopsy is needed** because it is not the recommended approach for evaluating a testicular mass. A high inguinal orchiectomy allows for the removal of the testis and spermatic cord in a single, intact specimen, which is essential for accurate staging and histopathological diagnosis of testicular cancer. This approach also minimizes the risk of tumor spillage and facilitates the preservation of the surrounding structures.
**Why Each Wrong Option is Incorrect**
**Option B:** Inguinal exploration is not the primary approach for evaluating a testicular mass. While it may be used for certain conditions, such as varicocele or inguinal hernia, it is not the preferred method for testicular cancer.
**Option C:** High inguinal exploration is actually the preferred approach for testicular cancer, as it allows for the removal of the testis and spermatic cord in a single, intact specimen.
**Option D:** Scrotal USG is a useful diagnostic tool for evaluating testicular masses and can help identify features suggestive of cancer, such as a hypoechoic mass or increased vascularity.
**Clinical Pearl / High-Yield Fact**
It is essential to remember that a high inguinal orchiectomy is the preferred approach for testicular cancer, as it allows for the removal of the testis and spermatic cord in a single, intact specimen, which is critical for accurate staging and histopathological diagnosis.
**✓ Correct Answer: A. Trans scrotal biopsy is needed**