Lab values: Alpha-fetoprotein: 10314 ng/mL & Beta HCG: 89937 mIU/mL, LDH: 580 U/L.

The patient underwent surgical excision (left orchiectomy) that pathologically proven as a mixed germ cell tumor.

In contrast to seminomas, non-seminomatous germ cell tumors tend to be more heterogeneous on ultrasound with frequent cystic areas. The appearance of an individual tumor will, of course, vary depending on the location.

Many thanks to Dr. Reem Yehia (GIT and internal medicine consultant) for patient care.