Testicular mass in a child requires urgent evaluation with an initial aim of making a prompt diagnosis and offering definitive treatment as soon as possible. We share our experience in the management of a dilemmatic scrotal mass in a 14-year-old boy. Clinical evidence was highly suggestive of malignancy warranting orchidectomy. Histopathological analysis of the mass revealed a testicular schistosomiasis. We emphasize that a high index of suspicion is required in the management of testicular masses in children living in areas that are endemic for schistosomiasis. We also advocate the need for routine frozen section in this condition whenever possible.
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