Which testicular malignancy does this patient most likely have?

A 28-year-old male presents with a three-month history of a chronic cough and weight loss.

Written by: Figure 1

Published on: January 11, 2019

A 28-year-old male presents with a three-month history of a chronic cough and weight loss. Upon further discussion, he mentions a painless lump in his left testicle. A firm mass is felt in the left testis on examination. A chest X-ray reveals the pulmonary lesions seen here and a scrotal ultrasound confirms the presence of a heterogenous tumor. Blood tests demonstrate highly elevated beta-hCG, slightly elevated lactate dehydrogenase (LDH), and normal alpha-fetoprotein (AFP) levels. Which testicular malignancy does this patient most likely have?

A. Granulosa cell tumor
B. Primary lymphoma
C. Yolk sac tumor
D. Choriocarcinoma

Find the answer, discuss this case, and more on Figure 1.

About Figure 1

Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.
More from this author

Previous

How To Demonstrate Service Orientation

Next

Don’t Count On Public Service Loan Forgiveness