PMC5654329_01
Ulcerated friable duodenal mass noted on esophagogastroduodenoscopy.
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fig1
Esophagogastroduodenoscopy (EGD) to further investigate his anemia revealed an ulcerated, friable mass within the mid second to third portion of the duodenum (Figure 1).
Duodenal mass, metastatic seminoma (H&E stain, magnification x40).
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fig2
Duodenal mass, metastatic seminoma (H&E stain, magnification x400).
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fig3
Duodenal mass with metastatic seminoma (PLAP IHC stain, magnification x200).
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fig4
Gross right testis, bisected, showing nodules within the testis.
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fig5
Gross examination of the right testis revealed four distinct tumor nodules in the testis (Figure 5).
Testicular seminoma (PLAP IHC stain, magnification x40).
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fig6
All four nodules showed immunoreactivity for PLAP (Figure 6).