Society of Radiologists in Ultrasound
نویسنده
چکیده
1. Clinical History A 41 year-old male presented to his primary care provider for prostate screening. The patient had a history of hypogonadism and low testosterone, as well as a family history of prostate cancer. Physical exam demonstrated significant left scrotal swelling. Palpation of the right testicle was normal. Palpation of the left testicle was limited secondary to scrotal swelling. A scrotal ultrasound revealed a large left hydrocele. However, an incidental 6 x 5 x 5 mm echogenic solid lesion was noted in the upper pole of the right testis with associated posterior shadowing, internal Doppler flow and minute echogenic foci, concerning for germ cell tumor versus Leydig cell tumor. The patient subsequently underwent a partial orchiectomy. Intraoperative frozen section demonstrated Leydig cell tumor with positive margins. The surgery was then converted to a right radical orchiectomy. Follow-up visits and examinations revealed no evidence of metastasis.
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