Fig. 1The abdominopelvic CT shows multiple enlarged and conglomerated lymph nodes with central necrosis in the paraaortic, aortocaval and retrocaval areas.
Fig. 2Chest CT shows multiple enlarged lymph nodes with central necrosis in the subcarinal area and hematogenous pulmonary nodules in both lungs.
Fig. 3The right testis gross appearance (A) and H-E staining (×40), (B) revealed mature teratoma without dermoid and epidrmoid cysts.
Fig. 4The gross appearance of the wedge-resected lung (A) and the H-E stain (×200), (B) revealed the presence of multinucleated syncytiotrophoblastic cells and extensive hemorrhagic necrosis.
Fig. 5The initial chest PA (A) and the chest PA taken on the 15th day after admission (B). Variable sized round multiple nodules are noted in both lung fields. The chest X-rays show rapid progression of multiple lung metastases between (A) and (B).