40-year-old patient, with normal physical examination, in whom a mediastinal mass and a hepatic nodule have been evidenced in the CT scan, and in the CBC a serum elevation of lactic dehydrogenase (LDH), human chorionic betagonadotropin (beta-HCG) and alpha-fetoprotein.What is your diagnostic suspicion. What is your diagnostic suspicion:
Very typical too. In the ED it can be diagnosed with a pregnancy test (in males), because it detects that beta HCG in urine. Hepatocarcinoma can elevate (alone) alpha-fetus, seminoma LDH, lymphoma also LDH.
Metastatic hepatocarcinoma.
Extragonadal metastatic seminoma.
Mediastinal lymphoma.
Metastatic extragonadal nonseminomatous germ cell cancer.
Hepatocarcinoma can elevate (alone) alpha-fetus, seminoma LDH, lymphoma also LDH.
Hepatocarcinoma can elevate (alone) alpha-fetus, seminoma LDH, lymphoma also LDH.
Hepatocarcinoma can elevate (alone) alpha-fetus, seminoma LDH, lymphoma also LDH.
In the ED it can be diagnosed with a pregnancy test (in males), because it detects that beta HCG in urine.