Painful Malignant Embryonal Carcinoma of the Testis

Patients with clinically palpable testicular nodule, regardless of absence or accompanying symptom of pain, require further evaluation. Testicular carcinoma including embryonal carcinoma has varied appearances and the diagnosis can be difficult unless there is presence of local infiltration or distant metastatic deposits. Ultrasound examination is the imaging modality of choice to quickly confirm the clinical findings of testicular mass at the Emergency Department and distinguish a testicular mass from an extra‐testicular mass and extent of the disease. Despite presentations in varying stages of disease, the treatment will include orchiectomy.