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Metastatic mixed germ cell tumor of the testis

Case contributed by Saeed Soltany Hosn
Diagnosis almost certain

Presentation

Scrotal heaviness.

Patient Data

Age: 20
Gender: Male

There is a large heterogenous retroperitoneal mass with encasement of IVC right ureter and aorta (at the level of bifurcation) wich cause right hydronephrosis and bilateral common iliac vein thrombosis.There is also a hyperdense stone in the upper pole of the right kidney. 

Case Discussion

Path proven   metastatic mixed germ cell tumor of the testis (90% seminoma, 10% embryonal carcinoma)

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