3 MCQs in Surgery for NEET PG
A 28-year-old man presents with a painless left testicular mass noticed 3 months ago. He denies trauma, fever, or systemic symptoms. On examination, the left testis is firm, enlarged, and non-transilluminable. Serum AFP is 450 ng/mL (normal <10), β-hCG is normal, and LDH is mildly elevated. Ultrasound confirms a 4 cm heterogeneous mass within the testis. What is the most likely histological diagnosis?
A 35-year-old man from Mumbai presents with a 2-month history of left testicular swelling and a dull ache. On examination, the left testis is firm, enlarged (5 cm), and the spermatic cord is thickened. Serum AFP is normal, β-hCG is 850 mIU/mL (normal <5), and LDH is 600 IU/L. Chest X-ray shows bilateral hilar lymphadenopathy. Inguinal ultrasound confirms a heterogeneous testicular mass with no free fluid. What is the most appropriate next step in management?
Which tumor marker is most sensitive for detecting yolk sac tumor (endodermal sinus tumor) of the testis?
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