A 58-Year-Old Man Presenting With a Cystic Neoplasm of the Testis

A 58-year-old white man with a history of hypertension presented for urologic evaluation for obstructive voiding symptoms and an elevated PSA (3.1 ng/dL).

On physical examination he was noted to have a palpable right testicular mass. He underwent a scrotal ultrasound that revealed a large (5.5 × 4.0 × 5.5cm) intra-testicular cystic mass with at least 7 peripheral soft tissue nodules ...