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Case of the Week

Editors: Francesca Khani  (Frk9007@med.cornell.edu) and Mahmut Akgul (akgulm@amc.edu)

2022-02/January 10

Contributors: Maria F Arisi and Li Li

A man in his 30’s presented with 3 days of abdominal pain, nausea, and vomiting. CT imaging revealed a 14 cm ill-defined right retroperitoneal mass, a 2 cm left pulmonary nodule, and a 10 cm right testicular mass. Serum alpha-fetoprotein (AFP) was elevated, and beta-HCG and LDH were normal. He underwent biopsy of the retroperitoneal mass.

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What is the correct diagnosis?

a. Seminoma

b. Hepatoid Teratoma

c. Metastatic mixed germ cell tumor

d. Metastatic hepatocellular carcinoma

e. Urothelial carcinoma

About GUPS

The Genitourinary Pathology Society (GUPS) was formed with the vision of advancing the care of patients with urologic diseases through enhancements of best practices, research, and education in the subspecialty of Urological Pathology.

GUPS is an official Companion Society of the United States and Canadian Academy of Pathology (USCAP).



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