Abstract

50-year-old man presented with a painless left testicular mass that he noted on self-examination. The mass had not noticeably changed in size after 1 month, and he sought medical attention. He denied any other symptoms, including fever, weight loss, back pain, gynecomastia, loss of libido, or erectile dysfunction. Scrotal ultrasonography demonstrated a hypoechoic (1.3-cm) mass in the lower pole of the testis. Results of computed tomography of the chest, abdomen, and pelvis were normal, with no evidence of metastases or enlarged retroperitoneal lymph nodes. Results of a preoperative serum analysis for -fetoprotein (AFP), testosterone, and -human chorionic gonadotropin were within normal limits. The left testicle and spermatic cord were surgically removed.

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