Testicular tumors Quiz: Ace Your Exams
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A 35-year-old man presents to his primary care doctor’s office after he felt a left testicular mass approximately a month ago while taking a shower. He has no pain or discomfort. He states that he had not noticed it before. Vitals are within normal limits. On physical examination, the patient’s left testicle is non-tender, but a firm and fixed mass is palpated. Transillumination is negative. An ultrasound of the left testicle demonstrates a homogenous mass with low echogenicity compared to the normal testicular tissue. Blood work reveals increased placental alkaline phosphatase (PLAP) with normal serum levels of AFP and beta-hCG. The primary care physician is concerned about metastasis. Which of the following would most likely be the first area of metastasis?
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