Chlamydia trachomatis disguised as an asymptomatic scrotal mass in adolescents

We present two cases of adolescents who presented with painless scrotal mas ses suggestive of testicular cancer. Diagnostic workup of both these patien ts revealed Chlamydia trachomatis and both patients were successfully treat ed with doxycycline. Both patients initially denied sexual activity. We sug gest that a high index of suspicion is warranted in adolescent patients tha t present with asymptomatic scrotal masses and precise tests for C. trachom atis be done to rule out an infectious cause.