Tumour Markers — Practice
A 28-year-old man presents with a painless testicular swelling. The peripheral smear and tumour markers show markedly raised serum AFP. On gross examination the cut surface of the resected testis shows a variegated tumour with haemorrhage and necrosis, and histology reveals primitive glandular and papillary structures with high mitotic activity. The most likely diagnosis is:
AEmbryonal carcinoma
BLeydig cell tumour
CClassic seminoma
DMature teratoma