Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 15 year old male with 3 episodes of hemoptysis over several weeks. Review of symptoms was remarkable for a 30 pound weight loss over 5 months which the patient attributed to dieting.
Clinical Physical Exam:
Clinical Differential Diagnosis:
A chest film showed a large lesion in the right upper lobe. Chest CT exam showed that lesion, and three smaller ones.
Images 1 and 2
Images 3 and 4
Images 5 and 6
Imaging Differential Diagnosis:
A left orchiectomy was performed. A non-palpable tumor was found.
Pathological examination of the surgical specimen revealed findings characteristic for an embryonal cell carcinoma.
Metastases, Pulmonary from Testicular Carcinoma
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. He was treated with chemotherapy.
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2018 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.