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Kaplan Qbank USMLE



Author3 Posts
  #1

A 40-year-old man presents to a physician because of enlargement of his
breasts. Physical examination demonstrates bilateral gynecomastia and
an enlarged right testicle. After an ultrasound examination and
determination of serum sex steroids, the patient undergoes right
orchiectomy. The right testicle contains a 3-cm mass with a
golden-brown homogeneous cut surface. Microscopic studies reveal
a homogenous population of large, polygonal cells with abundant
eosinophilic cytoplasm, indistinct cell boundaries, and round,
central nuclei. Scattered, rod-shaped crystals are also seen.
Which of the following is the most likely diagnosis?
A. Immature teratoma
B. Leydig cell tumor
C. Sertoli cell tumor
D. Spermatocytic seminoma
E. Teratoma with malignant transformation

  #2

B :?:

  #3

grin right







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