Testicular seminoma

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

Pain left hemiscrotum. No urinary symptoms.

Patient Data

Age: 35 years
Gender: Male
ultrasound
Transverse
Transverse
Transverse
Longitudinal
Longitudinal
Longitudinal
Longitudinal
Longitudinal
Transverse
Longitudinal
& transverse
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Info

A well-defined lobulated hypoechoic eccentric nodule measuring 1.6 x 1.5 x 1.4 cm, is seen in the left testis. No cystic component or calcifications are seen in it. Color Doppler ultrasound examination shows internal vascularity.

Histopathology report

Photograph
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Info

Histopathology of the left orchiectomy showing 2 cm seminoma.

Case Discussion

  • Ultrasound features are suggestive of a testicular neoplasm, like seminoma.

  • AFP: <2.0 ng/ml (~8 ng/ml).

  • B-HCG: <2.3 IU/L (0-5 IU/L)

  • LDH: 153 U/L (125-220 U/L)

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