If a patient describes a mass in the groin, ask the following questions:
''When did you first notice the mass?'' ''Is the mass painful?''
''Does the mass change in size with different positions?'' ''Have you had any venereal diseases?''
The most common cause of swelling in the groin is a hernia. Hernias are reduced in size after the patient has been lying down. Adenopathy from any infection of the external genitalia may produce inguinal swelling. Carcinoma of the testis produces inguinal node enlargement only if the scrotal skin is involved.
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