A young male presents with abdominal pain. CT scan shows heterogenous necrotizing mass at left renal hilum. His AFP or hCG levels are elevated. The MOST likely diagnosis is:
Correct Answer: Metastatic germ cell tumour
Description: Extragonadal germ cell tumors: Nonseminomatous extragonadal GCTs represent a distinct subset of GCTs and carry a poorer prognosis than primary testicular NSGCTs. The most common origin is the mediastinum, but they can also arise in the retroperitoneum or pineal region. Initial diagnosis may be aided by elevations of AFP or hCG. Ref: Brooks H.D., Pagliaro L.C., Lim Z.D., Pisters L.L., Tannir N.M. (2011). Chapter 36. Germ Cell Tumors. In H.M. Kantarjian, R.A. Wolff, C.A. Koller (Eds), The MD Anderson Manual of Medical Oncology, 2e.
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now