A 21-year-old male presented with complaints of swelling and dragging sensation in the scrotum for 6 months. Local ex- amination revealed a firm 10 cm?6 cm?4 cm lump with non- palpable right testis. Overlying skin was free. Ultrasonogra- phy showed a mass lesion in the right testicular area with multiple heterogeneous foci and mild increased vascularity, however, without any cystic region and calcification. Right epididymis was also bulky and measured 1.6 cm?0.7 cm with heterogeneous texture. No significant inguinal lymphade- nopathy was present. Features were suggestive of a neoplastic lesion. Patient’s serum lactate dehydrogenase (LDH), alpha feto-protein (AFP), beta-Human chorionic gonadotropin (b-HCG), complete blood count, liver and kid- ney function tests were within normal limits. A high inguinal orchidectomy was subsequently done. Gross examination revealed a firm oval mass with glistening external surface. Cut surface showed residual normal testis as a discrete nodule in center measuring 2.8 cm?2.5 cm?0.8 cm, encased by a large firm white lesion. Layers of tunica were embedded within the tumor.
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