Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 15 year old male with 3 episodes of hemoptysis over several weeks. Review of symptoms was remarkable for a 30 pound weight loss over 5 months which the patient attributed to dieting.
Clinical Physical Exam:
Clinical Differential Diagnosis:
A chest film showed a large lesion in the right upper lobe. Chest CT exam showed that lesion, and three smaller ones.
Images 1 and 2
Images 3 and 4
Images 5 and 6
Imaging Differential Diagnosis:
A left orchiectomy was performed. A non-palpable tumor was found.
Pathological examination of the surgical specimen revealed findings characteristic for an embryonal cell carcinoma.
Metastases, Pulmonary from Testicular Carcinoma
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. He was treated with chemotherapy.
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