Difference between revisions of "Sertoli-Leydig cell tumour"

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(→‎Microscopic: tweak format)
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==Microscopic==
==Microscopic==
Features:
Features:
# Sertoli ''or'' Leydig cells.<ref name=Ref_PBoD1103>{{Ref PBoD|1103}}</ref>  
* Sertoli ''or'' Leydig cells.<ref name=Ref_PBoD1103>{{Ref PBoD|1103}}</ref>  
#* Leydig cells:
** Leydig cells:
#**Polygonal pink cells
***Polygonal pink cells
#** Abundant solid or somewhat granular eosinophilic cytoplasm.
*** Abundant solid or somewhat granular eosinophilic cytoplasm.
#** Round nuclei with fine chromatin and a small or indistinct [[nucleolus]].
*** Round nuclei with fine chromatin and a small or indistinct [[nucleolus]].
#** Often in small clusters ~ 5-25 cells/cluster.
*** Often in small clusters ~ 5-25 cells/cluster.
#* Sertoli cells:
** Sertoli cells:
#** Pale/clear vacuolated cytoplasm.
*** Pale/clear vacuolated cytoplasm.
#** Irregular nuclei with irregular/vacuolated-appearing chromatin.
*** Irregular nuclei with irregular/vacuolated-appearing chromatin.
#** Architecture: tubules, cords or sheets.
*** Architecture: tubules, cords or sheets.
#**Mitotic activity may be much lower than expected for the degree of atypia (in comparison to adenocarcinoma).
***Mitotic activity may be much lower than expected for the degree of atypia (in comparison to adenocarcinoma).
# Stroma.
#*Stromal edema may be prominent
# +/- Sarcomatous features (mucinous glands, bone, cartilage).
*Growth Patterns:
*Growth Patterns:
**Well-differentiated.
**Well-differentiated.
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**Retiform.  
**Retiform.  
***Tumour resembles rete testis/ovary with blunt papillae and irregular cleft-like spaces.
***Tumour resembles rete testis/ovary with blunt papillae and irregular cleft-like spaces.
*+/-Stromal edema may be prominent
*+/-Sarcomatous features (mucinous glands, bone, cartilage).


DDx:
DDx:
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