PMC3290032_01
Sonogram image showing a left testicular tumor and a normal right testis.
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F1
An outpatient scrotal sonogram done 1 month before for this reason showed a 3-mm hypoechoic left testicular mass and some punctate calcifications but no masses or other pathology of the right testicle (fig. 1), and the patient was discharged on analgesics.
Biopsy of the left testicle showing evidence of carcinoid tumor with the typical nesting pattern of neoplastic cells.
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F2
In view of these findings, the patient underwent an elective left-sided orchiectomy, and pathology revealed a carcinoid tumor (fig. 2) with positive chromogranin, synaptophysin (fig. 3) and CD117 reactivity on immunohistochemical analysis.