Case 6-2007 -- A 28-Year-Old Man with a Mass in the Testis

doi:10.1056/NEJMcpc069037

Volume 356:842-849		February 22, 2007		Number 8

Case 6-2007 — A 28-Year-Old Man with a Mass in the Testis

Donald S. Kaufman, M.D., Mansi A. Saksena, M.D., Robert H. Young, M.D., and Shahin Tabatabaei, M.D.

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Presentation of Case

A 28-year-old man was referred to this hospital for consultationon the management of an enlarging testicular mass.

One year earlier, he had noticed a small, nontender mass inthe posterior aspect of the right testicle, which a physician,who was a relative of the patient, ascribed to epididymitis;the mass seemed to disappear, or at least the patient did notnotice it again. One month before the consultation, the resultsof a routine annual physical examination were normal; no abnormalitieswere noted in the testicles. Ten days before the consultation,the right testicle became tender and began to enlarge . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Discussion of Management

Testicular Cancer Staging

Treatment of Early-Stage, Nonseminomatous Germ-Cell Tumors

Active Surveillance

Primary Retroperitoneal Lymph-Node Dissection

Chemotherapy

Anatomical Diagnosis

Source Information

From the Departments of Hematology–Oncology (D.S.K.), Radiology (M.A.S.), Pathology (R.H.Y.), and Urology (S.T.), Massachusetts General Hospital; and the Departments of Medicine (D.S.K.), Radiology (M.A.S.), Pathology (R.H.Y.), and Urology (S.T.), Harvard Medical School.