Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 4, Issue 1 | Case Report | Open Access DOI
Yanumula A*
Yanumula A1*, Capuano J2 1Department of Family Medicine, Naval medical Center Camp Lejeune, Camp Lejeune, USA 2Department of General Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA
*Correspondence to: Yanumula A
Fulltext PDFA 20-year-old male presented to Breast Clinic with asymptomatic, bilateral gynecomastia. Thorough physical examination revealed an incidental finding of an enlarged left testicle. Further investigation led to the diagnosis of testicular cancer without evidence of distant metastasis. The patient underwent radical left orchiectomy. Final pathology revealed Stage IB mixed Non-Seminomatous Germ Cell Tumor (NSGCT) with lymphovascular invasion (pT2). Adjuvantly, he received a single cycle of chemotherapy that was well tolerated. Although the presentation of painless testicular mass was characteristic for a patient with this diagnosis, it ultimately was diagnosed by the surgeon when being evaluated for a chief complaint of gynecomastia. This case highlights the need for vigilance in thorough physical examination and detection of testicular tumors in the primary care setting.
Yanumula A, Capuano J. From Gynecomastia to Unexpected Testicular Mass: Clinical Journey of a Young Male with a Mixed Non-Seminomatous Germ Cell Tumor. Ann Case Rep Clin Stud. 2025;4(1):1-5.