Benign intrascrotal neoplasms.

We analyzed the surgical and pathological records of 90 patients who underwent surgical exploration of solid scrotal masses during a 5-year period. Sixteen patients had benign lesions, including 10 adenomatoid tumors, 3 fibrous pseudotumors, 2 fibromas and 1 dermoid cyst. Twelve patients with benign lesions were treated by local excision and 4 by orchiectomy. Identification of benign intrascrotal lesions, aided by examination of frozen sections and combined with an understanding of the lesions, allows the intraoperative decision for local excision and the avoidance of needless orchiectomy.