MedPix® Patient Chart - Case No: 13555 :: - Review Images

20 y.o. man with trauma to the groin 4 days ago, presents with increasing pain and swelling of his left testicle for two days.

» "Rock hard" left testicle.

» Lab values -
Alpha-Fetoprotein: 10314 ng/mL
Beta HCG: 89937 mIU/mL
LDH: 580 U/L

- Review Images for PT: 13555

Testicle Ultrasound
• Well-circumscribed, heterogeneously hypoechoic mass with mixed solid and cystic components, arising from the left testicle and confined within the tunica albuginea.

Abdominal CT
• Bulky retroperitoneal and para-aortic lymphadenopathy.

Chest Film and CT
• Supraclavicular and subcarinal adenopathy and multiple lung nodules.

All of these findings suggest a metastatic testicular cancer

- Review Images for PT: 13555

• Germ cell tumor (likely non-seminomatous)
• Stromal tumor
• Lymphoma

- Review Images for PT: 13555

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Treatment not available without Diagnosis

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