Which imaging studies are most appropriate for evaluating suspected testicular cancer in primary care?

The most appropriate imaging study for evaluating suspected testicular cancer in primary care is a scrotal ultrasound scan. This is recommended as a direct access investigation for men presenting with unexplained or persistent testicular symptoms to help identify testicular cancer.

If testicular cancer is suspected on clinical examination or incidentally following ultrasound, an urgent referral to urology via the 2-week suspected cancer pathway should be arranged.

Additional imaging such as CT chest, abdomen, and pelvis is usually reserved for staging after diagnosis and is not typically performed in primary care.