<prompt> Lymph node metastasis in testicular tumor. First lymph node involved is:InguinalPara aorticExternal iliacInternal iliac  <response>: Ans. b Para aorticRef Harrison 19th ed. 589Points to Remember about testicular tumor In metastatic disease-retroperitoneal LN is Most commonly involved Metastasis- Lymphatic Blood mc lung Exception is Choriocarcinoma where blood metastasis mc lung lymphatic metastasis. Most common testicular tumor- in general - seminoma Prepubertal adults- teratoma Infant and children- yolk sac tumor Most common presentation- nodule or painless swelling of one gonad Most common bilateral testicular tumor- Malignant lymphoma Most common bilateral primary testicular tumor- Seminoma FNAC contraindicated Intial IOC- USGhypo echoic area within tunica albuginea is suspicious HPE diagnosis by-radical orchiectomy inguinal approach Scrotal orchiectomy- contraindicated Chavesseac maneuver- soft clamp applied to cord- biopsy from suspicious area- sent for frozen section- if ligate cord, do orchiectomy- final HPE 