Tall Infertile Man!
A 29-year-old man with no past medical history presents to a urologist after 2 years of unsuccessful attempts at conceiving a child. The man states that his wife is 24 years old and has no medical problems. She was evaluated for infertility by a gynecologist, and no abnormalities were found. The man has no history of sexually transmitted disease or urologic diseases. Physical examination reveals a tall man with long legs who appears younger than his stated age. He has minimal facial hair and a slight fullness to his breasts bilaterally. The patient’s testicles are 2.2 cm long and firm. A semen sample is obtained, which shows no sperm. For what disease is this man at increased risk?
(A) Germ cell tumor
(C) Peyronie’s disease
(D) Renal cell carcinoma
(E) Transitional cell carcinoma