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A 69-year-old man with an enlarging painless right testis underwent orchiectomy. The testis contained a 5.0 cm lobulated white-gray mass replacing most of the parenchyma and involving paratesticular structures. A workup revealed no evidence of involvement elsewhere.
The master list with the correct answer
• Chronic orchitis
• Embryonal carcinoma
• Myeloid sarcoma
• Primary testicular lymphoma, diffuse large B-cell type
• Seminoma
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