Case of the day

Ca Right Testes presenting with Liver Mets

A male aged 45 years p/w Swelling in Right Testes since 3 months and recent onset Pain Abdomen and Weight loss.... On examimation, his Right testes was swollen and spermatic cord was thickened... Rest Hepatomegaly was present... Vitals BP- 110/70mmHg PR- 88/min

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Kindly go through the following investigations Serum Beta HCG,Serum Alpha fetoprotein,Serum LDH USG of scrotum and testis FNAC mass testis X-ray Chest Once Testicular tumour is confirmed go for Radical orchidectomy followed by Chemotherapy depending upon the histological type of tumour Liver Mets can occur in non seminomatous tumor and mixed tumour

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Get the serum markers done Please do avoid FNAC of the testicular mass If imaging and serum markers are suggestive of malignancy explain to pt and go ahead with whole body PET CT scan followed by high orchidectomy and further management based on histology and metastatic disease

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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