Mixed germ cell tumour of the testis: gross pathology
30 year old male who presented with pain in his right groin of few weeks duration.
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The patient was initially treated with antibiotics by his primary care physician but groin fullness and swelling persisted.
Testicular ultrasound showed multiple intratesticular masses consistent with malignancy. CT of chest, abdomen and pelvis done prior to inguinal orchiectomy revealed retroperitoneal lymphadenopathy most consistent with metastases from his testicular cancer. Serum tumour markers showed normal AFP and beta-hCG and elevated LDH.
The teratoma component had mostly immature elements - highly cellular primitive-appearing stroma, embryonic tubules, and foci of neuroepithelium.
Author: Dharam Ramnani
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