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Mixed Germ Cell Testicular Tumor
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MedPix Image - MedPix Case
Affiliation: Walter Reed National Military Medical Center
ABSTRACT
Diagnosis: Mixed Germ Cell Testicular Tumor History: 20 y.o. man with trauma to the groin 4 days ago, presents with increasing pain and swelling of his left testicle for two days. Findings: Testicle Ultrasound • Well-circumscribed, heterogeneously hypoechoic mass with mixed solid and cystic components, arising from the left testicle and confined within the tunica albuginea. Abdominal CT • Bulky retroperitoneal and para-aortic lymphadenopathy. Chest Film and CT • Supraclavicular and subcarinal adenopathy and multiple lung nodules. All of these findings suggest a metastatic testicular cancer Ddx: • Germ cell tumor (likely non-seminomatous) • Stromal tumor • Lymphoma Dxhow: Pathology examination showing: Teratoma (50%); Choriocarcinoma, Biphasic (30%); Embryonal Carcinoma (15%); Yolk Sac Tumor (5%) Exam: » "Rock hard" left testicle. » Lab values - Alpha-Fetoprotein: 10314 ng/mL Beta HCG: 89937 mIU/mL LDH: 580 U/L No MeSH data available. |
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MPX1748_synpic53122: Subcarinal adenopathy |
View Article: MedPix Image - MedPix Case
Affiliation: Walter Reed National Military Medical Center
Diagnosis: Mixed Germ Cell Testicular Tumor
History: 20 y.o. man with trauma to the groin 4 days ago, presents with increasing pain and swelling of his left testicle for two days.
Findings: Testicle Ultrasound • Well-circumscribed, heterogeneously hypoechoic mass with mixed solid and cystic components, arising from the left testicle and confined within the tunica albuginea. Abdominal CT • Bulky retroperitoneal and para-aortic lymphadenopathy. Chest Film and CT • Supraclavicular and subcarinal adenopathy and multiple lung nodules. All of these findings suggest a metastatic testicular cancer
Ddx: • Germ cell tumor (likely non-seminomatous) • Stromal tumor • Lymphoma
Dxhow: Pathology examination showing: Teratoma (50%); Choriocarcinoma, Biphasic (30%); Embryonal Carcinoma (15%); Yolk Sac Tumor (5%)
Exam: » "Rock hard" left testicle. » Lab values - Alpha-Fetoprotein: 10314 ng/mL Beta HCG: 89937 mIU/mL LDH: 580 U/L
No MeSH data available.
