Metastatic mixed germ cell tumor of testis

Case contributed by Dr Saeed Soltany Hosn


Large and painless testicular mass

Patient Data

Age: 20 years
Gender: Male

MDCT reveals a huge retroperitoneal mass in right para renal space and extension to right iliac fossa  with heterogenous density and focal area of necrosis which causes compression of IVC and right renal vein and ureter and subsequent hydronephrosis. There is also encasement of aorta, SMA, right renal and common iliac artery and another focus of lymphadenopathy in para aorta and retro crural space. There is evidence of right orchiectomy as well.


CT scan (pre-orchiectomy)

Single slice from the earliest CT (before orchiectomy) shows a large heterogenous mass in the right scrotum.

Case Discussion

Path proven mixed germ cell tumor of testis

PlayAdd to Share

Case information

rID: 20815
Published: 14th Dec 2012
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.