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Review Question - QID 214470

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QID 214470 (Type "214470" in App Search)
A 31-year-old man presents to the clinic with left-sided scrotal swelling. He noticed the scrotal swelling 5 months ago and it is associated with a feeling of “heaviness.” The patient has a history of cryptorchidism. He had a left orchiopexy at age 2. On examination, a painless, firm mass of the left testicle is noted. An ultrasound of the scrotum finds a large, left testicular solid mass with cystic elements and calcifications. Which of the following is the most appropriate next step in management?