Q:

A 6 year old boy has completed an induction course of chemo for ALL. He has an enlarged left scrotum. What is the most appropriate next step?

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A 6 year old boy has completed an induction course of chemo for ALL. He has an enlarged left scrotum. What is the most appropriate next step?


  1. Herniotomy
  2. CT abdomen
  3. Biopsy
  4. Immediate surgery
  5. Reassurance

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The key is C. Biopsy. [Relapse may directly involve testis and excisional biopsy is done to confirm recurrence of leukemia].

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