Ultrasound shows malignant looking right testicular mass invading the tunica albuginea.

Histopathology shows embryonal cell carcinoma measuring 3 cm and invading the tunica vaginalis and tunica albuginea.

CT scan shows multiple abdominal necrotic lymph nodes along with a few necrotic left supra and infra clavicular lymph nodes.

Laboratory investigations show: B-HCG=24.4 IU/L (0.0-5.0 IU/L), AFP=2.8 ng/ml (≤8ng/ml), LDH=447 U/L (125-220 U/L).

According to the TNM staging of the testicular tumors; final tumor stage is T2N2M1a.