A 42 year-old man with continuing pain in LLQ for one week and complained a light diarrhea and lymph node at his left neck. He had no fever.
Laboratory findings noted raised beta 2 microglobulin.
Ultrasound detected hepatosplenomegaly and many lymph nodes in the abdomen, groins and neck that lead to think about an infiltration of lymphoma stage IV.
Full body MSCT was done and detected a metastasized seminoma in abdomen and mediastinum.
Chest X-RAY noted nothing remarkable.
Microscopic and chemoimmunologic staining result of the left neck node was germinoma.
Scrotum ultrasound detected a tumor of the right testis, #75×36×66mm, vascularised , hypoechoic which metastasized pelvic and 2 groin lymph nodes.
