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.
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