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al negative screening test results, especially in low-income regions due to its cost-effectiveness and ease of implementation. Primary pure angiosarcoma of the testis is an exceptionally rare testicular malignancy, which is poorly understood. We present the fifth and youngest case in the current medical literature. Additionally, all cases of angiosarcoma of the testicle, both occurring with associated germ cell tumour and without, were compared in an extended tabular format. A 56-year old man presented with unilateral scrotal pain, swel