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