Presentation
Painless right scrotal swelling for one month
Patient Data
Age: 35 years
Gender: Male
From the case:
Testicular non-seminomatous germ cell tumor
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/12743/annotated_viewer_json?iframe=true\u0026lang=us"}
The right testicle is enlarged with a markedly heterogeneous grayscale appearance and increased flow on color Doppler imaging. The appearance is not specific, but concerning for a malignant.
There is no calcification in the right testicular mass. There is a thin rim of normal parenchyma at the lower pole. Arterial as well as venous flow is detected in mass. testicular tumor.
Left normal testis.
Case Discussion
Blood work:
- serum beta HCG: 1003 mIU/mL (normal men <3.0 mIU/mL)
- serum AFP: 1071 IU/mL (normal 0 - 15 IU/mL)