Testicular nonseminomatous germ cell tumor

Case contributed by Dr Maulik S Patel

Presentation

Painless right scrotal swelling for one month.

Patient Data

Age: 30-35Y
Gender: Male
Ultrasound

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

LAB :

Serum B HCG: 1003 mIU / ml (normal men <3.0)

Serum AFP: 1071 IU / ml (normal 0 - 15)

Non-seminomatous germ cell tumor.

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Case information

rID: 12525
Published: 10th Dec 2010
Last edited: 16th Jul 2018
System: Urogenital
Tag: testis, afp, bhcg
Inclusion in quiz mode: Included

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