145 Left Malignant Germ Cell Tumor of the Testis with Metastatic Bulky Retroperitoneal Adenopathy

Clinical Presentation

A 31-year-old male patient complains of ill-defined abdominal pain.

Fig. 145.1 (A–C) Contrast-enhanced axial and coronal images show bulky retroperitoneal adenopathy. (D,E) Ultrasound images of the left testicle show a well-defined, hypoechoic seminoma with increased Doppler flow.

Contrast-enhanced computed tomography (CT) images (Fig. 145.1) show bulky retroperitoneal adenopathy centered at the level of the renal hila. Subsequent ultrasound images of the left testis shows a well-defined, hypoechoic, intratesticular mass with increased Doppler flow.