Bilateral Germ Cell Neoplasia In Situ with Left Testicular Seminom

Abstract

An adult presented to the urology clinic with persistent scrotal pain approximately four months after emergency evaluation for a traumatic scrotal injury. The clinical exam revealed a nontender right testis with a hydrocele and a normal-size left testis with a barely palpable mass. The patient’s alpha-fetoprotein (AFP) level was 2.3 ng/mL and beta-human chorionic gonadotropin (b-HCG) level was <0.6 IU/L, both within normal range.