Reproductive Quiz #35, Testicular Tumors and Pathology  

1. A 30-year-old male presents with a painless enlargement of his right testicle. Ultrasound reveals a solid mass within the testicle. Serum tumor markers are significant for elevated alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG). Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 25-year-old male presents with a firm, painless mass in his left testicle. He also complains of a dull ache in the lower abdomen. Serum tumor markers show a slight elevation in lactate dehydrogenase (LDH) but normal AFP and hCG levels. Which of the following histological features is most characteristic of the most likely diagnosis? 

Question 2 of 5

3. A 20-year-old male presents with gynecomastia and a testicular mass that does not transilluminate. Serum analysis reveals significantly elevated levels of estrogen and slightly elevated levels of testosterone. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 32-year-old male presents with a testicular mass. Biopsy of the mass reveals cells with clear cytoplasm and central nuclei, consistent with a seminoma. Which of the following is a potential complication associated with this diagnosis? 

Question 4 of 5

5. A 28-year-old male presents with a painful testicular mass. Evaluation reveals an elevated erythrocyte sedimentation rate (ESR), mild leukocytosis, and a normal alpha-fetoprotein (AFP) level. Ultrasound of the testicle shows a hypoechoic lesion. Which of the following is the most likely diagnosis? 

Question 5 of 5


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