Presentation
GP referral. Right testicular pain. Cause?
Patient Data
Age: 45 years
Gender: Male
From the case:
Metastatic mixed germ cell tumor of testis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/61784/annotated_viewer_json?iframe=true\u0026lang=us"}
Well defined irregular 2cm solid mass with avid Doppler flow in the lower pole of the right testis.
No hydrocele.
Normal left testis.
From the case:
Metastatic mixed germ cell tumor of testis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/61785/annotated_viewer_json?iframe=true\u0026lang=us"}
Round 3 cm necrotic aortocaval lymph node.
2 cm heterogeneous mass in the lower pole of the right testis.
No solid organ metastases.
Serum tumor markers were undertaken after the ultrasound report:
- LDH: 221 u/L
- AFP: 520.9 ng/Ml
- hCG: 1766.0 IU/L
All elevated.
Case Discussion
A case of metastatic testicular germ cell tumor. A right orchiectomy was performed. The histological report for the specimen was of a mixed non-seminomatous germ cell tumor.