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Mixed Germ Cell Testicular Tumor

Becker RLB - MedPix (2010)

View Article: 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.


Screening chest radiogram shows multiple pulmonary nodules.  On this lateral view, two nodules are visible just behind the sternum.  Other suspicious opacities are seen.  A chest CT was performed.
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MPX1748_synpic53229: Screening chest radiogram shows multiple pulmonary nodules. On this lateral view, two nodules are visible just behind the sternum. Other suspicious opacities are seen. A chest CT was performed.


Mixed Germ Cell Testicular Tumor

Becker RLB - MedPix (2010)

Screening chest radiogram shows multiple pulmonary nodules.  On this lateral view, two nodules are visible just behind the sternum.  Other suspicious opacities are seen.  A chest CT was performed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1748&req=5

MPX1748_synpic53229: Screening chest radiogram shows multiple pulmonary nodules. On this lateral view, two nodules are visible just behind the sternum. Other suspicious opacities are seen. A chest CT was performed.

View Article: 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.