Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 68-year-old male patient presented with a painless right testicular swelling. The swelling had increased progressively for the past six months. He also complained of nocturia and a slow urinary stream for the last two months. The patient was a well-controlled type 2 diabetic.
Physical examination Swelling of the right hemi-scrotum was noted, with the presence of a palpable hard mass on the right testicle. The left testicle was normal. The swelling was non-tender. Radiological investigations Ultrasonography of the scrotum revealed two hypoechoic and homogenous nodules in the right testis, measuring 10 x 8 mm and 16 x 10 mm, respectively. Laboratory investigations Serum alpha-fetoprotein = 1.22…
