Fill in order details

  • Submit your instructions
    to writers for free!

Chat with the writer

  • Chat with preferred expert writers
  • Request a preview of your paper
    from them for free

Editing

  • Project edited by the quality evaluation department

Download Your Completed Project

  • Download the completed project from your account or have it sent to your email address

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle

Testicular Cancer Case Studies

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old.

Studies Results
Routine laboratory studies Within normal limits (WNL)
Ultrasound the testicle Solid mass, right testicle associated with calcifications
HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5)
CT scan of the abdomen Enlarged retroperitoneal lymph nodes
CT scan of the chest Multiple pulmonary nodules

Diagnostic Analysis

At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.

Critical Thinking Questions

  1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer?
  2. What might be the side effects of cytotoxic chemotherapy?
  3. What was the purpose of preserving his sperm before chemotherapy?
  4. Is this young man’s age typical for the development of testicular carcinoma?

What our customers say
_____