28-year-old male presents with a right testicular pain.
US in the transverse and sagittal planes through the right testicle shows multicentric hypoechoic nodules some of which are hyper vascular. One of neoplastic nodules appears to extend into the region of the head of the epididymis and insertion of the cord.
Pathology:
Germ cell tumor with findings classical of seminoma. There was involvement of the rete testis, and hilar stromal tissue. The tumor penetrated the tunica albuginea. Multifocal angiolymphatic invasion TNM pT2 Nx Mx