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A 56 yo man comes to GP because of two episodes of hemoptysis. He has smoked 1.5 packs of cigarettes daily for past 38 years. Denies alcohol/drug use. Vitals are between flags. BMMI is 40. Physical exam shows left sided varicocel that does not empy. US shows 6.5 cm mass with irregular borders in upper pole of left kdiney with extension into hilum. Renal mass is excises and is histologically comprised of malignnant cells with abundant clear cytosplasm. 1. What is likely diagnosis? 2. What is likely cause of varicocele?

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The development of the reproductive system begins with the formation of undifferentiated gonads and the paired mesonephric and paramesonephric ducts.


1. A 56 yo man comes to GP because of two episodes of hemoptysis. He has smoked 1.5 packs of cigarettes daily for past 38 years. Denies alcohol/drug use. Vitals are between flags. BMMI is 40. Physical exam shows left sided varicocel that does not empy. US shows 6.5 cm mass with irregular borders in upper pole of left kdiney with extension into hilum. Renal mass is excises and is histologically comprised of malignnant cells with abundant clear cytosplasm. 1. What is likely diagnosis? 2. What is likely cause of varicocele?





 
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