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Figure 1: (a) The cut surface of the testis was completely replaced by a variegated gray-white growth with extensive areas of hemorrhage and necrosis. (b) The histopathologic examination revealed intimate admixture of multinucleated syncytiotrophoblastic cells with cytiotrophoblastic cells in a biphasic plexiform pattern (hematoxylin and eosin, ×10). The syncytiotrophoblastic cells immunoreactive for β-human chorionic gonadotropin (HCG). (c) The computed tomography chest revealed a heterogeneous mass in the right cardiophrenic angle. (d) The cytology smears from lung mass revealed malignant multinucleated synctiotrophoblastic cells (Giemsa, ×40)

Figure 1: (a) The cut surface of the testis was completely replaced by a variegated gray-white growth with extensive areas of hemorrhage and necrosis. (b) The histopathologic examination revealed intimate admixture of multinucleated syncytiotrophoblastic cells with cytiotrophoblastic cells in a biphasic plexiform pattern (hematoxylin and eosin, ×10). The syncytiotrophoblastic cells immunoreactive for β-human chorionic gonadotropin (HCG). (c) The computed tomography chest revealed a heterogeneous mass in the right cardiophrenic angle. (d) The cytology smears from lung mass revealed malignant multinucleated synctiotrophoblastic cells (Giemsa, ×40)