PMC8138151_01
Initial computed tomography (CT) scan showing the germ cell tumor in the coronal plane (a) and axial planes (b, c). CT angiography showing pulmonary artery embolization in the axial plane (d).
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F1
Initial computed tomography (CT) scanning showed an ~22 x 18 cm ulcerating testicular mass with para-aortic, iliac and inguinal lymph node metastases on both sides (Fig. 1a-c). CT angiography showed bilateral acute pulmonary embolism with right heart strain and pulmonary infarction in the right middle lobe (Fig. 1d).
Photographs of the ulcerative testicular mass in April 2020.
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F2
A macroscopically visible tumor decay and reduction without evidence of superinfection was observed (Fig. 2).
Computed tomography scan showing the germ cell tumor in the coronal plane (a) and in the axial plane (c), as well as positron emission tomography-computed tomography showing the germ cell tumor in the coronal plane (b) and the axial plane (d), after 4 cycles of systemic chemotherapy in June 2020.
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F3
On June 10, 2020, positron emission tomography and CT imaging after 4 cycles of chemotherapy showed a decreasing scrotal mass (~9.5 x 9.5 cm) with still existing contact to the penis root (Fig. 3).