Aim: To study the clinicopathological spectrum of testicular lesions in a tertiary care centre. Background: Testicular lesions encompass a wide range of pathologies, from benign conditions to malignant tumors. Understanding the clinicopathological characteristics of these lesions is crucial for accurate diagnosis and effective management. This study aims to analyze the spectrum of testicular lesions presented at a tertiary care center over a three-year period. Methods: A retrospective study was conducted on patients presenting with testicular lesions at a tertiary care center between January 2014 and December 2016. The study adhered to the STROBE guidelines for observational studies. Data were collected from histopathological records, including patient demographics, clinical presentation, imaging findings, and histological diagnosis. Statistical analysis was performed using appropriate tests, and results were presented in the form of tables and descriptive statistics. Results: A total of 180 cases of testicular lesions were analyzed. The age of patients ranged from 15 to 75 years, with a mean age of 35.4 years. Benign lesions constituted 65% of the cases, while malignant lesions accounted for 35%. The most common benign lesion was a hydrocele, observed in 40% of cases. Among malignant lesions, seminoma was the predominant histological type, representing 60% of the malignant cases. Other malignancies included embryonal carcinoma (20%) and yolk sac tumor (10%). Clinical presentation varied, with scrotal swelling being the most frequent complaint, reported in 70% of cases. The correlation between imaging findings and histopathological diagnosis was significant (p < 0.05). Conclusion: This study highlights the diverse spectrum of testicular lesions encountered in a tertiary care setting. The findings underscore the importance of histopathological examination in the accurate diagnosis of testicular pathologies. Early detection and appropriate management are key to improving patient outcomes, particularly in cases of malignant lesions.

Testicular lesions, clinicopathological spectrum, benign testicular lesions, hydrocele