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A 31-year-old man was admitted to the hospital because of a testicular mass.
The patient had been well until three months before admission, when he noted bilateral testicular swelling that coincided with a two-week illness characterized by fever and cough. When the fever and cough resolved, the testicular swelling appeared to improve. One month later, while on a cruise, the patient had an upper respiratory tract infection associated with fever and cough, and again noted enlargement of his testes. He read It's Not about the Bike, by Lance Armstrong1 while on the cruise, and became concerned about testicular cancer. Again,
Differential Diagnosis
Clinical Diagnosis
Pathological Discussion
Pathological Diagnosis
Discussion of Management
Source Information
From the Division of Hematology and Oncology (K.K.B.) and the Department of Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (K.K.B.) and Pathology (R.P.H.), Harvard Medical School.
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Case 15-2004: Cancer Therapy and Sperm Banking
Amory J. K., Ballen K. K., Hasserjian R. P.
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N Engl J Med 2004;
351:510, Jul 29, 2004.
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