A young male with Disseminated Malignancy
A young male aged 34 years Chief Complaints Pain Left Testes Jaundice Pain Abdomen (x 2 months) Physical Examination Bulky Left Testes Pall(++) Investigations PET-CT
PET CT indicated increase take up of isomer suggestive of seminoma testes with malignant liver
This is a rather urgent situation. Likely NSGCT but get markers, AFP, bHCG, LDH. Will need orchidectomy, and definitely chemotherapy (BEP or VIP). This is likely poor risk ( if NSGCT) but curable. Need to move fast
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