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Un patient de 34 ans consulte pour une volumineuse bourse gauche, indolore, indurée dans son ensemble, non fébrile, sans contexte de traumatisme, dont la transillumination est négative et l'échographie en faveur d'une lésion tissulaire du testicule. Parmi les propositions ci-dessous, quelle(s) est(sont) les plus vraisemblables ?
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