Testicular cancer Quiz: Ace Your Exams
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A 37-year-old man presents to the PA for evaluation of a testicular mass, which the patient noticed a week ago while showering. The mass has not been causing pain or discomfort. However, the patient has been experiencing enlargement of the breast tissue and a decrease in facial hair. Temperature is 37.7°C (98.6°F), pulse is 87/min, and blood pressure is 132/76 mmHg. Physical examination reveals a firm mass in the right testicle, which does not transilluminate with light. The cremaster reflex is present bilaterally, and there is no erythema of the scrotum. Bilateral breast enlargement is noted; palpation reveals centrally located glandular tissue and mild tenderness bilaterally. The remainder of the physical examination is non-contributory. Laboratory testing reveals normal placental alkaline phosphatase, α-fetoprotein, and ꞵ-hCG levels. Which of the following findings is most likely present within the patient’s testicular mass?
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