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Case #1

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Expand Physical Exam

04/02/XX

39-year-old male found a hard area in the L testicle. On exam L testicle firm and tender, R testicle normal, no adenopathy

Expand X-Rays & Scans

04/03/XX

Ultrasound of scrotum revealed a 2.2 cm heterogenous L intratesticular mass compatible with neoplasm.

Chest X-Ray negative.

04/04/XX

CT abdomen/pelvis showed no adenopathy. Lung bases clear.

Expand Laboratory

04/14/XX

Elevated levels of hCG 2628 mIU/ml and AFP 63 ng/ml. LDH WNL.

Expand Operative Findings

04/13/XX

No unusual findings.

Expand Pathological Reports

04/13/XX

Testis, L radical orchiectomy – mixed germ cell tumor, approx 35% teratoma, 25% embryonal carcinoma, 25% yolk sac tumor and 15% choriocarcinoma. Spermatic margin free of tumor, focus suspicious for vascular invasion identified.

05/10/XX

L retroperitoneal LND: 26 nodes negative for malignancy.

Expand Treatment

04/13/XX

Surgery: Left radical orchiectomy.

05/10/XX

Nerve sparing L side retroperitoneal lymph node dissection .