Metastatic testicular teratoma

Case contributed by Dr Ian Bickle

Presentation

Presented with a left testicular lump and left loin/flank pain.

Patient Data

Age: 30
Gender: Male
Ultrasound
Diffuse microlithiasis with a well defined hetergenous mass in the inferior pole.   (Sub-optimal image quality -ICB)
CT

3.3cm right upper lobe lung mass with adjacent satellite nodules.

Huge partially necrotic left para-aortic lymph node mass, abutting the aortic and displacing the left renal vessels anteriorly.

Pathology

Specimen from a left orchidectomy - open and cut gross histopathological samples.

The well defined mass contains internal haemorrhage, and correlates with the ultrasound appearances.

Case Discussion

Testicular malignancies have a bimodel distribution of both the young and elderly.

A controversial relationship exists between testicular microlithiasis and predisposition to malignancy.

Testicular tumours commonly metastases to the lungs and draining lymph nodes - as in this case along the course of the left testicular vein to the para-aortic regions.

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Case information

rID: 25386
Case created: 23rd Oct 2013
Last edited: 7th May 2017
System: Urogenital
Inclusion in quiz mode: Included

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