| Physical Exam |
06/20/XX |
38 year old male with history undescended R testicle and 1 month history R groin mass. L testicle normal. No palpable lymph nodes. Impression: possible incarceration of inguinal testicle. Admit for groin exploration, hernia repair, possible orchiectomy. |
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| X-Rays & Scans |
06/20/XX |
Ultrasound testicle – large undescended R testicle, 5cm hypoechoic mass within R testicle worrisome for carcinoma, R inguinal hernia seen. L testicle WNL. |
| 06/20/XX |
Chest X-ray normal. |
| 06/20/XX |
CT Abd/pelvis: no enlarged nodes in abdomen or pelvis. No mets. |
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| Laboratory Reports |
07/07/XX |
Alpha-Fetoprotein 2.2 (normal) Chorionic Gonadotropin <2 (normal). Elevated LDH 280 (range 150-250). |
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| Operative Findings |
06/22/XX |
R radical inguinal orchiectomy of undescended testicle – large mass in R inguinal canal, hydrocele removed, then right testis removed. No obvious mass, testicle infarcted. |
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| Pathological Reports |
06/22/XX |
R testicle: seminoma with secondary infarction. Negative involvement tunica albuginea, epididymis or vas deferens. Negative vascular involvement. Tumor about 4cm. |
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| Treatment |
06/22/XX |
Surgery: R inguinal exploration, R radical orchiectomy, R hernia repair. |
| 09/02/XX |
Radiation: External beam radiation 2550 cGy in 15 fractions to the abdomino-periaortic lymph nodes using 18 MV X-ray, complete course given. |
