4.285715
Average: 4.3 (7 votes)
Testicular mass.
12/15/2011
32-year-old male with a large testicular mass.

Procedure: radical orchiectomy.

Gross: The enlarged testis measures 8 x 6 x 4 cm. and entirely replaced by a tan homogeneous solid tumor. No residual normal uninvolved testicular tissue is seen (see gross photos).

Introperative touch-prep cytology (see photos) (10x to 100x oil) Pap and H&E stains

Micro: see photos (10x to 40x), H & E stain.
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    Comments

    23/12/11
    testis
    nulickCrimean oncologic center
    4
    classic seminoma (dysgerminoma)
    21/12/11
    nice case
    naziha mansuriafrican oncology institue
    4
    very nice pictures. especially the smears . the quility is amazing!. also the H&E slides it is very nice , as you see the quility of the teqniqe making the diagnosis more easy and it is very helpful. THANK YOU! N.B: can i save the pics. for teching??
    20/12/11
    Classical seminoma
    0
    a good case presentation & excellent slides
    20/12/11
    to Dr Qiao,
    rxhopeIndia
    0
    Thanks...will acknowledge
    20/12/11
    Classical case of Seminoma.
    dranjupradhanB.P.Koirala Institute of Health and Science
    0
    Classical case of Seminoma. All the pictures are very beautiful and classic, the gross, histomorphology and the cytomorphology. Thanks for the post.
    20/12/11
    To Dr. zaman
    5
    You can save the photos for teaching purposes, however, you have to acknowledge the source when you present them ! I appreciate you like the photos ! Good pathology case should include excellent photos of gross, cytology, and histology......
    20/12/11
    stunning images. esp
    rxhopeIndia
    0
    stunning images. esp cyto... Classical Seminoma... can i save it for teaching purposes.
    20/12/11
    testicular mass
    Jalal Ali Jalaldept. of pathology, college of medicine,Hawler medical university
    0
    Classical seminoma
    20/12/11
    classic seminoma
    palmedgradMIH Jerusalem
    3
    nice
    20/12/11
    Very nice case, complimented
    GumburiAga Khan University Hospital Department of pathology and microbiology
    0
    Very nice case, complimented with TP & gross. Classic Seminoma
    19/12/11
    To Dr. Haddawi
    5
    Sertoli cell tumor is not in our differential diagnosis. If you google "Sertoli cell tumor" and clik the Images on your left hand side, you will see what does sertoli cell tumor look like! On the touch-prep smear, one differential diagnosis came into my mind is malignant lymphoma. However, the frozen section is so classic, the possibility of malignant lymphoma is ruled out immediately! Thanks for all the comments !
    19/12/11
    Seminoma
    0
    Very nice images, and I like the cytology. The histology slides show the typical appearance of seminoma with the fibrovascular septae and infiltration by lymphocytes.
    19/12/11
    Sertoli cell tumor
    0
    It looks more like Sertoli cell tumor becuase of its features: Groups of cells in chords or trabeculae (beam-like arrangement). Cells have: Light staining bubbly cytoplasm +/- large cytoplasmic vacuoles. Slightly irregular nucleoli. Granular irregular appearing chromatin. Mitoses are rare. No significant nuclear atypia. Any Immunohistochemistry done?
    19/12/11
    its Seminoma
    kartthikPGIMER
    0
    its Seminoma
    18/12/11
    Great case
    omerzCure Inernational hospital
    4
    Thanks for sharing
    17/12/11
    Nice case
    garreyfCarney Hospital
    0
    Nice case and great pics. I havent seen one in a long time.