Testicular mixed germ cell tumor

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

The patient had noticed a mass in his right testicle 2 weeks ago. Ultrasound examination was inconclusive.

Patient Data

Age: 20 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Scrotum

mri
Axial
T2
Axial
T1
Axial T1
C+ fat sat
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Info

MRI showed patchy hypointensities within the right testicle on T2-weighted images, but no circumscript lesion. T1-weighted imaging didn't clearly show an abnormality. After contrast, a rim-enhancing mass with central necrosis could be seen. 

Case Discussion

Orchiectomy was performed. A mixed germ cell tumor was diagnosed by histologic examination.

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