Diagnostic Highlights

General Comments: Most testicular tumors are found in routine checkups or by self-examination; they often cause no symptoms.

Test

Normal Result

Abnormality with Condition

Explanation

Scrotal ultrasound

Radical orchiectomy, followed by a biopsy

Normal size, shape, and configuration of the testicles NA

Solid, malignant mass is identified

Solid mass is removed, 100% prove to be malignant

Noninvasive visualization of the testicles

Needle biopsy would lead to open spread of the cancer cells, thus the biopsy is done after the testicle is removed.

Other Tests: Serum laboratory analysis of beta-subunit human chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP); chest x-ray or computed tomography (CT) for lung metastasis; abdominal and pelvic CT or magnetic resonance imaging (MRI) to check for retroperitoneal lymph node metastasis; intravenous pyelography to check for urinary tract involvement

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