Differential Diagnosis for Small Calcifications in the Inferior Left Hemiscrotum
Single Most Likely Diagnosis
- Scrotal pearl or epidermoid cyst: These are benign lesions that can present as small calcifications in the scrotum. They are relatively common and often found incidentally.
Other Likely Diagnoses
- Hydrocele with calcification: A hydrocele is an accumulation of fluid in the scrotum, and in some cases, it can lead to calcification of the surrounding tissue.
- Sperm granuloma: This is a benign condition that can occur after vasectomy or other scrotal surgeries, where small calcifications form around sperm.
- Scrotal calcinosis: This condition involves the deposition of calcium in the scrotal skin, which can appear as small calcifications.
Do Not Miss Diagnoses
- Testicular cancer with calcification: Although rare, some testicular cancers can present with calcifications. It is crucial to rule out malignancy, especially if other symptoms or risk factors are present.
- Metastatic disease: In rare cases, metastatic disease from other primary cancers can present as calcifications in the scrotum.
Rare Diagnoses
- Cystic teratoma of the testis: A rare type of testicular tumor that can contain calcifications.
- Scrotal tuberculosis: A rare condition where tuberculosis infects the scrotal tissue, potentially leading to calcifications.
- Idiopathic scrotal calcification: A rare condition characterized by the deposition of calcium in the scrotal skin without an identifiable cause.