“Burned out” phenomenon of the testis in retroperitoneal seminoma

To the Editor A 42-year-old male patient presented to his local doctor with profuse night sweating and back pain. Multiple retroperitoneal lymph node metastases (from 2.1 to 3.5 cm masses) were found to the right of the aorta on the computed tomography (CT) scan. The masses displace the aorta, renal right arteria and cava vein with CT evidence of infiltration. A testicular ultrasound confirmed a 3.0 cm hypoechoic nodule within the left testicle; the right testicle was normal in size. Tumour marker b-human chorionic gonadotropin (b-HCG) was out of range (11 mUI/m) and a-fetoprotein (a-FP) was normal. Lactic dehydrogenase (LDH) was found out of

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