Embryonal carcinoma presenting as a calcified solitary testicular mass on ultrasound.

MedStar author(s):
Citation: BMJ Case Reports. 2017, 2017 Jul 31PMID: 28765489Institution: MedStar Washington Hospital Center | MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Urogynecology | UrologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Carcinoma, Embryonal/dg [Diagnostic Imaging] | *Carcinoma, Embryonal/su [Surgery] | *Testicular Neoplasms/dg [Diagnostic Imaging] | *Testicular Neoplasms/su [Surgery] | Carcinoma, Embryonal/pa [Pathology] | Diagnosis, Differential | Humans | Male | Orchiectomy/mt [Methods] | Rare Diseases | Testicular Neoplasms/pa [Pathology] | Treatment Outcome | Ultrasonography | Young AdultYear: 2017ISSN:
  • 1757-790X
Name of journal: BMJ case reportsAbstract: A 24-year-old man presented with a 2-week history of a painless right testicular mass; ultrasound demonstrated a dense, solitary calcified mass. The patient elected observation after further workup showed no evidence of metastasis.A repeat ultrasound 3 months later showed interval growth and the patient underwent right radical orchiectomy. Pathology was consistent with pure embryonal carcinoma of the testis. Calcified testicular masses are typically benign but do carry a differential of spermatic granuloma, large-cell calcifying Sertoli cell tumour, trauma, tuberculosis, filariasis, calcified Leydig cell tumour and burned-out testicular tumour.To our knowledge, this is the first case report of pure embryonal carcinoma presenting as a solitary calcified testicular mass.Copyright (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.All authors: Gerber D, Stamatakis L, Sussman RD, Wright HCFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2017-08-04
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Journal Article MedStar Authors Catalog Article 28765489 Available 28765489

A 24-year-old man presented with a 2-week history of a painless right testicular mass; ultrasound demonstrated a dense, solitary calcified mass. The patient elected observation after further workup showed no evidence of metastasis.A repeat ultrasound 3 months later showed interval growth and the patient underwent right radical orchiectomy. Pathology was consistent with pure embryonal carcinoma of the testis. Calcified testicular masses are typically benign but do carry a differential of spermatic granuloma, large-cell calcifying Sertoli cell tumour, trauma, tuberculosis, filariasis, calcified Leydig cell tumour and burned-out testicular tumour.To our knowledge, this is the first case report of pure embryonal carcinoma presenting as a solitary calcified testicular mass.

Copyright (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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