Large heterogeneous right testicular mass likely representing a non seminomatous germ cell tumor, later proven to be a mixed germ cell tumor.

Laboratory investigations showed elevated tumor markers {AFP= 107 ng/ml (normal: ~8),  quantitative beta-HCG =29.4 IU/L (normal in males: <5) and LDH=334 U/L (normal: 125-220)}. 

Staging workup showed no evidence of distant metastasis. The patient underwent an uneventful radical right inguinal orchiectomy.