Testicular Tumors

[color=rgb(41, 105, 176)]see video link in second post [/color]

[size=20px]A 12-year old boy is referred to you with a suspected inguinal hernia. Instead, on palpation of the scrotum you suspect a paratesticular mass. There are no enlarged lymph nodes palpable in the inguinal canal or on computerized tomography imaging of the abdomen and pelvis. For this patient with a paratesticular mass you recommend a transscrotal needle biopsy only. b transscrotal needle biopsy and sentinel lymph node sampling of inguinal nodes. c transscrotal open biopsy and sentinel lymph node sampling of inguinal nodes. d inguinal open biopsy and sentinel lymph node sampling of inguinal nodes. e inguinal open biopsy and ipsilateral retroperitonea…

[size=22px]Which of the following constitutes stage III disease in a patient with a testicular germ cell tumor? A Presumed metastatic disease in lungs B Positive retroperitoneal lymph nodes C Failure of tumor markers to normalize after radical orchiectomy D Radical orchiectomy via scrotal rather than inguinal incision[/size]

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Thanks to dr Titolugo for the question! [size=20px]The most common testicular sex-cord-stromal tumor in children is: A) Sertoli tumor B) Granulosa cell tumor C) undifferentiated cell tumor D) dysgerminoma E) Leydig cell tumor[/size]

First one with correct answer with justification win. [size=20px]An 8 year old boy presents with a palpable mass in the left testicle associated with testicular enlargement, pubic hair, and clear signs of precocious puberty. You are most suspicious of which of the following testicular tumors in the setting of isosexual precocious puberty A rhabdomyosarcoma B Leydig cell tumor C Sertoli-Leydig cell tumor D endodermal sinus tumor E testicular leukemia[/size]