TARTS at the dinner table

At the end of a busy clinic, I was immediately interested on picking up the notes of a 20 year old with bilateral testicular swelling for several months. His only other symptoms were increasing thirst and genital pigmentation over the previous six months. Clinical examination was highly suggestive of bilateral testicular malignancies, and initial ultrasonography seemed to confirm the clinical findings. Further investigations were needed, but I warned the patient of my worry that, on the face of it, he might need orchidectomies. …