What is the diagnosis? - harry@potter

[ArchivalUser]

Testicular mass with hemorrhagic necrosis, epithelial cell arrange in gradular pattern, inc AFP and hCG

[ArchivalUser]

since its both AFP and HCG it is embryonal carcinoma...

only AFP = yolk sac also called andodermal sinus tumor
only HCG= choriocarcinoma

teratoma can show obth inc in HCG and AFP but then it will not show haemorrhagic necrosis...it will show derivatives of all three germ layers..

embryonal carcinoma typically a bulky tumor with areas of heamorrhagic necrosis, radiosensitive and hematogenour spread before lymphatic.

[ArchivalUser]

inc HCG can also be seen in soem caes of seminoma..

[ArchivalUser]

Shells, u r excellent........
It is embryonal carcinoma
Hemorrhagic necrosis, epithelial cell arrange in gradular pattern are quite specific for embryonal carcinoma

[ArchivalUser]