A CASE OF YOLK SAC TUMOUR WITH NORMAL AFP VALUES

AUTHORS

Dr J.S.SIKARWAR,M.D

Dr.AMIT JAIN ,M.D

Dr.ATUL SARAOGI,PG STUDENT

GRMC AND JAH HOSPITAL,GWALIOR

CLINICAL HISTORY

• DANGAL SINGH,25 YEAR MALE CAME WITH COMPLAINTS OF SLOW GROWING ABDOMINAL AND TESTICULAR SWELLING SINCE 3 MONTHS.

• THERE WAS NO HISTORY OF PAIN ,ALTERED BOWEL HABITS ,HEMATURIA ,JAUNDICE

ULRASOUND IMAGE

RIGHT HETEROECHOIC TESTICULAR MASS

ULTRASOUND IMAGE

NORMAL LEFT TESTIS

ULTRASOUND IMAGE

HETEROECHOIC LARGE ABDOMINAL MASS

FINDINGS

• ON USG

• HETEROECHOIC RIGHT TESTICULAR MASS WITH NECROTIC AREAS

• HETEROECHOIC ABDOMINAL MASS EXTENDING FROM RIGHT HYPOCHONDRIUM TO PELVIS WITH FEW CALCIFIC FOCI

DIFFERENTIAL DIAGNOSIS

• TESTICULAR ABSCESS WITH BOWEL MASS

• TESTICULAR TUMOUR WITH ABDOMINAL METASTASIS

DISCUSSION

• CECT OF THE PATIENT WAS DONE AND FINDINGS WERE IN FAVOUR OF BOWEL MASS WITH TESTICULAR ABSCESS

• PATIENT WAS TAKEN FOR SURGERY AND THE ABDOMINAL MASS WAS FOUND TO BE THICK WALLED WITH NECROTIC CONTENTS WITHIN

• THE NECROTIC MATERIAL WAS DRAINED AND A SAMPLE OF THE WALL WAS TAKEN

• LAPAROTOMY FINDINGS LED TO THE SUSPICION OF THE MASS BEING PSEUDO PANCREATIC CYST

• ON HISTOPATHOLOGICAL EXAMINATION THE MASS WAS CONFIRMED AS YOLK SAC TUMOUR

• ON TESTICULAR BIOPSY TOO YOLK SAC TUMOUR WAS CONFIRMED

• SERUM AFP VALUE OF THE PATIENT CAME IN NORMAL RANGE-28.1 NG/ML WHICH WAS CONFIRMED TWICE

FINAL DIAGNOSIS

• TESTICULAR YOLK SAC TUMOUR WITH ABDOMINAL METASTASIS WITH NORMAL AFP VALUES