A 2 year old boy presented with a hard mass in the left hemi-scrotum. The mass had been noticed by his parents almost 3 months ago, and appeared to be progressively increasing in size.
Physical examination revealed a left Testicular tumour with no regional lymphadenopathy or coexisting abdominal masses.
Clinically his lungs were clear.
His AFP was markedly raised signifying that this was a Yolk Sac Tumour of the testis.
CT scans of his abdomen and Chest revealed no spread and this was therefore a Stage One Tumour of his Left Testis.
He underwent a successful High Orchidectomy and his AFP has since returned to normal.
He shall remain on follow up with 6 monthly to annual AFP evaluation.