Man 43 yo detected left testis swollen slowly.
Ultrasound of scrotum finds out left testis too big # 4 cm x 5 cm,
solid hypoechoic looked like a hypovascular cyst.
US 1= crossed section, hypoechoic in comparison to right testis.
US 2 = hypovascular tumor
US 3 = elastoUS, solid tumor # 25 kPa.
MSCT with CE this tumor is quick CE enhanced with
calcification.
CT 1 : frontal view
CT 2 : sagittal view
CT 3: sagittal view of left
testis tumor
Blood tests= beta HCG , AFP = normal levels; LDH= is
313 (n :246)
Based on clinical , ultrasound, ACD, CT diagnostic pre op
is seminoma.
Operation removed tumor (see macro).
Microscopic result is seminoma.
REFERENCE:
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