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?
b. Hepatoid Teratoma
c. Metastatic mixed germ cell tumor
d. Metastatic hepatocellular carcinoma
e. Urothelial carcinoma