Clinical data, operative findings and gross features of lesions may provide important and at times decisive diagnostic clues. The present study is undertaken to study the diverse histopathological patterns of testicular lesions and thus offering a specific diagnosis which is of paramount clinical significance. The study was planned in IGIMS in Department of Pathology in 50 patients. The aim of the study is to know the diverse histopathological patterns of testicular lesions. All the specimens of testicular tumours and tumour like lesions were reviewed and their diagnosis made. Testicular specimens received in the department of pathology. Inclusion criteria includes the specimens with macroscopically microscopically detected tumours and tumour like lesions of testis mentioned in the WHO classification, referred from histological typing of testis tumour. It is conclude that, despite new techniques in imaging and tumor marker assay the diagnosis of testicular lesion is primarily dependent on histopathological examination. Tumor and tumor like lesions of testis have similar presentations in the form of scrotal swelling and pain.