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URMC / Pathology & Laboratory Medicine / Education / Case of the Month / Case 69: Testicular Mass

 

Testicular Mass

Case Authors: Cansu Karakas, MD; Arash Lahouti, MD

Clinical History

A 27-year-old African-American male presented with painful left testicular mass. He noticed a slight fluctuation in the size of the mass over the past four months, as well as subjective fever and chills. He denied dysuria, discharge, and gross hematuria. Initial workup revealed a mildly elevated alpha-fetoprotein (AFP) level (350 U/L) with normal beta-HCG and LDH.

Imaging

Ultrasound exam revealed a 1.6 cm hypoechoic left testicular mass and a 0.6 cm right testicular mass.

Recent History

Patient has a past medical history significant for epididymitis status post partial antibiotic treatment complicated by medication noncompliance a year ago. He underwent left radical orchiectomy.

Next: Diagnosis