View larger version (113K):
|
A 60-year-old man presented with progressive swelling of the right side of the scrotum. He reported no history of trauma to this area and no sexually transmitted infections. The alpha-fetoprotein level was elevated at 3100 µg per liter (normal value, <8), and the serum level of the beta subunit of human chorionic gonadotropin was less than 1 IU per liter. Multidetector computed tomography with multiplanar reformation (Panel A) showed a large testicular tumor with lymphangitic spread along the testicular vessels to the associated draining lymph nodes below the renal hilus. Right-sided hydronephrosis is present because of compression of the ureter . . . [Full Text of this Article] |
Previous
