MacMahon R A, Cussen L J
Section of Paediatric Surgery, Queen Victoria Children's Hospital, Monash Medical Centre, Melbourne, Australia.
J Pediatr Surg. 1991 Jan;26(1):68-9. doi: 10.1016/0022-3468(91)90429-w.
Unilateral testicular enlargement in the pubertal boy is not an indication for exploration and biopsy, if the clinical features and investigations show no evidence of malignancy. In the prepubertal boy, unilateral testicular enlargement is not necessarily an indication for exploration if there are no clinical or investigational grounds for suspicion of neoplasia. Close follow-up is essential.