yea, twas klinifelters syndrome. There was no pointer towards a testicular tumour. The small firm testis was a descriptive data to aid diagnosis. There were no other signs of carcinoma in the examination findings..

see a doctor when the doctor finally examines him, he finds out that he actually has small round firm testes.

Testicular tumours can be a differential from 20, the patient usually experiences a painless swelling in one testis. The books say gynecomastia may occur in 5% of cases of testicular tumours (, but this is too rare to think of it)

Remember Klinifelters syndrome is characterized by hypogonadism (micro-orchidism) ie small testes and penis, gynecomastia, etc.

Klinifelters syndrome is the most appropriate diagnosis