Testicular cancer

Case contributed by Dr Dalia Ibrahim

Presentation

Abdominal pain, previous CT revealed multiple enlarged lymph nodes, his physician suspected lymphoma.

Patient Data

Age: 23-year-old
Gender: Male
Modality: Nuclear medicine

FDG avid left testicular mass with SUV max 14, the mass isn't seen by conventional CE-CT.

Increased FDG uptake by left supraclavicular node and multiple enlarged abdominal lymph seen at the para-aortic and left iliac lymph nodes, likely metastatic. (SUV max 30 at the left para-aortic nodes).

Increased FDG uptake (SUV max 4) by left upper lobe para cardiac small pulmonary nodule, metastatic.

Case Discussion

PET-CT findings are impressive of metastatic left testicular primary cancer with metastatic pulmonary nodule, left supraclavicular and abdominal metastatic lymph nodes.

Testicular tumor was missed at the conventional CE-CT scan.

Awaiting histopathology.

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Case Information

rID: 32407
Case created: 25th Nov 2014
Last edited: 17th Aug 2016
System: Urogenital
Inclusion in quiz mode: Included

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