Non-seminomatous germ cell tumour

Case contributed by Dr Praveen Jha

Presentation

Painless testicular swelling on right side since one month. Some discomfort, otherwise no symptoms.

Patient Data

Age: 30 years
Gender: Male
Modality: Ultrasound

A large heterogenous solid-cystic mass lesion is seen in the right scrotal sac, and right testes could not be seen separately from the lesion. It shows internal vascularity.

Modality: MRI

Well defined heterogenous solid mass lesion is seen in right testes, with solid and cystic areas within, with possible hemorrhagic areas within.

CT performed immediately after the MRI

Modality: CT

Immediately after MRI, CT was done as correlative imaging and specifically to rule out calcification (teratoma/carcinoma). 

Case Discussion

Characteristic heterogenous appearance, with cystic areas, in testicular mass lesion, leads to a provisional diagnosis of Non-seminomatous germ cell tumour. On further investigation, his serum AFP and B-HCG was found to be elevated. Patient underwent orchidectomy with a pathological diagnosis of non-seminomatous mixed germ cell tumour

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Case Information

rID: 16649
Case created: 7th Feb 2012
Last edited: 15th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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