dr.shar
Forum Elite
Topics: 38
Posts: 236
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A 32-year-old has noted bilateral breast enlargement over the past 7 months. On physical examination there is bilateral gynecomastia without tenderness or masses. His external genitalia appear normal. An ultrasound scan reveals a 1 cm solid mass within the body of the right testis. Laboratory studies show a serum testosterone of 550 ng/dL and estradiol of 36 pg/mL. His serum alpha-fetoprotein is 9 ng/mL and HCG non-detectable. Which of the following neoplasms is this man most likely to have?
A Choriocarcinoma
B Embryonal carcinoma
C Leydig cell tumor
D Seminoma
E Yolk sac tumor
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| mingle
Forum Senior
Topics: 27
Posts: 109
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choriocarcinoma...hmmm probably won;t live for 7mths yolk sac usu in children seminoma has hcg if leydig testosterone should be the main effect & not feminization...hmmmm ans is choriocarcinoma?
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| mingle
Forum Senior
Topics: 27
Posts: 109
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choriocarcinoma...hmmm probably won;t live for 7mths yolk sac usu in children seminoma has hcg if leydig testosterone should be the main effect & not feminization...hmmmm ans is embryonal carcinoma?
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| dr.shar
Forum Elite
Topics: 38
Posts: 236
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correct ans is
C Leydig cell tumor
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