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A 28-year-old man was referred to this hospital for consultation on the management of an enlarging testicular mass.
One year earlier, he had noticed a small, nontender mass in the 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 not notice it again. One month before the consultation, the results of a routine annual physical examination were normal; no abnormalities were noted in the testicles. Ten days before the consultation, the right testicle became tender and began to enlarge
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.
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