2021-01 / January 04
Contributors: Anu Abraham, Varsha Manucha
A man in his 50s presented with constipation and urinary frequency. CT scan identified a 20 cm abdominal mass. A biopsy of the mass was performed. He underwent orchiectomy two years back for a 11 cm right testicular mass. Biopsy from the abdominal mass is shown in figures 1 and 2. Figures 3-5 show the tumor in the testis that was retrospectively reviewed.
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1. What is the correct diagnosis?
a. Seminoma with atypia (formerly anaplastic seminoma)
b. Metastatic Leydig cell tumor
c. Sertoli cell tumor
d. Granulosa cell tumor
e. Embryonal carcinoma