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38 year old male presents with a painless mass in the right scrotum. No other signs/symptoms.
Palpable firm mass in right testicle. AFP elevated. B-HCG negative.
Well circumscribed hyperemic mass in the right testicle. Follow-on CT images (not shown) demonstrated paraaortic soft tissue densities likely representing pathologically enlarged lymph nodes.
Seminoma
Mixed germ cell tumor
Choriocarcinoma
Teratoma
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