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A 26-Year-Old Man Presented to the Office Due to Left-Sided

Question 170

Multiple Choice

A 26-year-old man presented to the office due to left-sided scrotal swelling. The patient noticed the swelling while taking a shower last week. The patient has not had any recent trauma. He denies any testicular pain. The swelling does not change with position, and it is not related to straining. Physical examination shows swelling in the left side of the scrotum, the swelling does not transilluminate. Ultrasound shows a solid mass in the left testicle. If this swelling is malignant, it will spread to which of the following lymph nodes?


A) Superficial inguinal
B) Deep inguinal
C) External iliac
D) Common iliac
E) Inferior mesenteric
F) Para-aortic

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