Primary paratesticular tumors are a rare group of tumors that present as a painless mass in the scrotum. Generally, due to the rarity and decreased awareness of their presence, they appear as an incidental finding on the operating table or in the postoperative pathology. Despite the fact that these tumors can be benign or malignant, they are entitled to be handled without preoperative biopsy. The presence of these tumors in younger individuals complicates management, and strong evidence is needed to justify orchidectomy in these cases. There has been a vast improvement in the literature regarding paratesticular tumors and their management strategies over the past few years which are a boon to the clinicians. We discuss here one such rare case of paratesticular tumor in an adolescent male and share our experience in its management.
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