PMC4300575_01
(a) Chest X-ray showing cardiomegaly and (b) CT showing heterogenous mass in the testis with calcification.
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F1
His chest X-ray showed cardiomegaly [Figure 1a] with clear lung fields. The right testis was enlarged (4.8 x 5.0 x 7.6 cm), vascular, showing heterogeneous density, necrosis, and calcifications [Figure 1b] along with minimal hydrocele.
Macroscopy: coronal section of the testis with spermatic cord. Inset: Enlarged testis. (b) Microscopy: monomorphic cells in the nested trabecular patter
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F2
Under local cord block, sedationand continuous cardiac monitoring, he underwent right radical high inguinal orchidectomy [Figure 2]. Histological analysis showed a well-circumscribed encapsulated tumor composed of cells arranged in an acini, insular, and trabecular pattern [Figure 2].