Testicular germ cell tumors (TGCT) most often present as masses in the testes but may uncommonly present with symptoms pertaining to the sites of their metastases. In the latter situation, the primary lesion may be clinically unapparent due to small size, central location or a true burned‑out/regressed tumor. The primary tumor can be overlooked in this clinical scenario which may lead to inappropriate patient management.
A 24‑year‑old man presented with severe abdominal pain to the surgical outpatient department. Physical examination was unremarkable. Lab investigations were significant for mild normocytic anemia. Read more. . .