Male , Female , Breast

A 21-year-old male presents with a testicular mass. Surgical resection of the mass was done and microscopic examination of the mass showed lace-like network of medium-sized cuboidal cells and Schiller-Duval bodies. Which of the following substances is most likely to be increased in this patient's serum as a result of being secreted from the cells of this tumor?

A mother notices that her 3-month-old infant son has an enlarging left testicle. A serum hCG- β is normal, but alpha-fetoprotein is markedly elevated. What is the MOST LIKELY diagnosis?

A 16 month old boy was brought to your clinic due to history of 2 days fever. Being so busy, you just requested urinalysis which showed PMN of 15-19 cells per HPF. You were told that the patient had 4 episodes of UTI for the past year. That is the only time you decided to examine his genitalia. You noticed that the orifice of his penile prepuce is too small. What is your diagnosis?

A 5-year-old boy is brought to the pediatrician for a physical examination prior to beginning elementary school. On examination, the boy has only one palpable testis in the scrotum. Further examination reveals a palpable mass in the left inguinal region. This condition is referred to as

A 60-year-old man with a history of benign prostatic hyperplasia presents to his primary care physician for a 3-day period of fever, chills, and pain with urination. He was recently catheterized during an admission in the hospital. Physical exam reveals a tender and enlarged prostate on digital rectal exam. Urinalysis reveals pyuria and hematuria. He is started on empiric antibiotics. The most likely diagnosis is

A 11-month old boy is brought to the pediatrician’s office for evaluation of a “lump” in his genital area. His birth history is unremarkable and he has been feeding and eating well. His parents report no other concerns. On physical exam, there is a tense and nontender mass in the scrotum. The transillumination test is positive. The parents are counseled about his condition and reassured that this will most likely resolve spontaneously. The most likely diagnosis is: "Please see the picture"

An 8-year-old boy is brought to the physician because his parents noticed a mass on his left testicle. Physical examination reveals a solid mass that cannot be transilluminated, and biopsy shows a haphazard arrangement of benign differentiated tissues, including squamous epithelium, glandular epithelium, cartilage, and neural tissue. The left testicle was removed surgically, and the patient is symptom free 5 years later. Which of the following is the most likely diagnosis?

A 2-year-old boy is brought to the physician because his parents noticed a mass on his right testicle. Physical examination confirms the parents’ observation. An orchiectomy is performed. Microscopic examination of the surgical specimen shows neoplastic cells forming glomeruloid Schiller-Duval bodies. Which of the following serum markers is most useful for monitoring the recurrence of tumor in this patient?

A 27-year-old man presents with acute and chronic infl ammation of his glans penis. Which of the following is the most likely complication of chronic balanitis in this patient?

During the physical examination of a newborn boy, the pediatrician notices that the urethral meatus is positioned on the lower side of the penile shaft. What is the appropriate diagnosis for this congenital birth defect?