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An 18-year-old man comes to the office due to a mass in his left scrotum. He has no other symptoms. The patient plays basketball regularly but does not recall any recent trauma to the testicle. He is sexually active with 2 partners and does not use condoms. Vital signs are within normal limits. Physical examination shows a left intrascrotal nodule that is difficult to distinguish from the left testis. The mass is nontender, does not change in size upon supine positioning, and does not transilluminate. There is no inguinal lymphadenopathy. Which of the following is the most likely diagnosis?
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