Mixed germ cell tumour of the testis: gross pathology

Case contributed by A.Prof Frank Gaillard

Presentation

30 year old male who presented with pain in his right groin of few weeks duration.

Patient Data

Age: 30
Gender: Male

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Case Discussion

The patient was initially treated with antibiotics by his primary care physician but groin fullness and swelling persisted.

Testicular ultrasound showed multiple intratesticular masses consistent with malignancy. CT of chest, abdomen and pelvis done prior to inguinal orchiectomy revealed retroperitoneal lymphadenopathy most consistent with metastases from his testicular cancer. Serum tumour markers showed normal AFP and beta-hCG and elevated LDH.

Right inguinal orchiectomy specimen showed a mixed germ cell tumor consisting of embryonal carcinoma, seminoma, and teratoma.

The teratoma component had mostly immature elements - highly cellular primitive-appearing stroma, embryonic tubules, and foci of neuroepithelium.

Author: Dharam Ramnani

Original file: Flick http://www.flickr.com/photos/dramnani/4770938343/

Modifications: square crop - added blue background to bottom of image

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Case information

rID: 11093
Case created: 16th Oct 2010
Last edited: 14th Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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