A 28-Year-Old Man Comes to the Office Due to a Bump

question 634

Multiple Choice

A 28-year-old man comes to the office due to a bump on his right testicle.  The patient is otherwise asymptomatic and healthy.  Vital signs are normal.  A solid mass is palpated in the right testicle.  The rest of the examination is unremarkable.  A scrotal ultrasound reveals a suspicious, partially necrotic mass.  Serum lactate dehydrogenase and alpha-fetoprotein levels are markedly elevated.  The patient undergoes a right radical inguinal orchiectomy.  Which of the following is the most likely histologic diagnosis?

• A)Leydig cell tumor
• B)Nonseminomatous germ cell tumor
• C)Sertoli cell tumor
• D)Teratoma
• E)Testicular lymphoma

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Definitions:

Causation

A relationship where one event (the cause) directly leads to the occurrence of another event (the effect).

Ceteris Paribus

A Latin term used in economics to mean "all other things being equal," isolating one economic variable to analyze its effect.

Normative Economics

A branch of economics that expresses value judgments about economic fairness or what the economy ought to be like, focusing on policy prescriptions and outcomes.

Unintended Consequences

Outcomes that are not the ones foreseen or intended by a purposeful action, often contrasting with the action’s intended effects.