Testicular choriocarcinoma

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Left testicular painless swelling.

Patient Data

Age: 30 years
Gender: Male
ultrasound

Heterogenous solid cystic mass lesion in left testis.

ct

Multiple bilateral large ("cannonball") lung metastases.
Enhancing metastasis, possibly two, in the right cerebellar hemisphere.

Follow-up films post-therapy

x-ray

Classic 'cannonball' metastases

Case Discussion

Testicular choriocarcinoma with cannon-ball lung metastases and a cerebellar metastasis.

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