Metastatic mixed germ cell tumor of the testicle

Case contributed by Dr Ian Bickle

Presentation

GP referral. Right testicular pain. Cause?

Patient Data

Age: 45 years
Gender: Male

Well defined irregular 2cm solid mass with avid Doppler flow in the lower pole of the right testicle.

No hydrocele.

Normal left testicle.

Round 3cm necrotic aortocaval lymph node.

2cm heterogeneous mass in the lower pole of the right testicle.

No solid organ metastases.

Serum tumour 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.

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Case information

rID: 55361
Published: 8th Sep 2017
Last edited: 11th Sep 2017
Inclusion in quiz mode: Included

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