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Establishing the Diagnosis of Germ Cell Tumors in Patients Presenting With Metastatic Disease: A Series of 55 Cases Emphasizing Challenges Commonly Encountered in Core Biopsies

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Germ cell tumors (GCTs) are the most common nonhematopoietic malignancies in young men and typically present as primary testicular masses. However, in ∼12% of cases, GCTs manifest as metastatic disease without a known testicular primary, leading to significan... ...