Testiculay yolk sac tumor in a seventeen year old patient

Leya Imanuelle martin

Abstract

Testicular tumors are rare in childhood with majority diagnosed to be malignant. Germ cell tumors (GCT), notably the most common of malignant gonadal tumor comprises only 3% of pediatric cancers.  Yolk sac tumor has been documented to have the highest incidence among malignant GCT in children. A seventeen-year old patient presenting with a six-month history of gradually enlarging painless left scrotal mass with no accompanying symptoms. Two weeks prior to admission, he developed low-grade fever without chills at night accompanied by non-productive cough. One week later, he had weight loss with decreased appetite hence consult was done. Physical examination revealed a firm, movable, non-tender solid left scrotal mass with inguinal lymphadenopathies. Alpha fetoprotein, Beta HCG and LDH were all elevated. CT scan noted multiple enlarged nodes in the lungs, mediastinal areas, liver, and pancreas