| 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 |
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| X-Rays & Scans |
04/03/XX |
Ultrasound of scrotum revealed a 2.2 cm heterogenous L intratesticular mass compatible with neoplasm. |
| 04/03/XX |
Chest X-Ray negative. |
| 04/04/XX |
CT abdomen/pelvis showed no adenopathy. Lung bases clear. |
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| Laboratory Reports |
04/14/XX |
Elevated levels of hCG 2628 mIU/ml and AFP 63 ng/ml. LDH WNL. |
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| Operative Findings |
04/13/XX |
No unusual findings. |
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| 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. |
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| Treatment |
04/13/XX |
Surgery: Left radical orchiectomy. |
| 05/10/XX |
Nerve sparing L side retroperitoneal lymph node dissection . |
