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
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.

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

CT

CT performed immediately after the MRI

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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