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Percivall Pott, writing in 1779 of testicular tumors masquerading as abscess of inflammation, warned against simple incision ". . . it not infrequently happens that an ill-natured fungus is thrust forth which by bleeding, gleeting, and being horridly painful disappoints the surgeon, and renders the state of the patient much more deplorable than it was before." The remark is just as cogent in 1971 as in the eighteenth century and suggests that the primary approach to the testicle itself ought to be orchiectomy via the inguinal canal rather than through the scrotum. The authors of this monograph pass along numerous
Tumours of the Testicle.. Ann Intern Med. ;74:467–468. doi: 10.7326/0003-4819-74-3-467_2
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Published: Ann Intern Med. 1971;74(3):467-468.
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