50) A 25-year-old male presents to your office for evaluation | Surgery videos & books

50) A 25-year-old male presents to your office for evaluation of a testicular mass that he found in the shower. On examination, his left testicle is larger than his right with a firm palpable mass. Ascrotal ultrasound confirms the presence of a solitary intraparenchymal testicular mass. Further management of his condition would include which of the following?
(A) close observation and repeat ultrasound in 3 months
(B) serum beta-human chorionic gonadotropin (HCG), alpha-fetoprotein (AFP), and lactate dehydrogenase (LDH)
(C) fine needle aspiration to determine if the mass is malignant
(D) transscrotal orchiectomy
(E) a 2-week course of antibiotics with follow-up clinical examination after completion