|
|
Line 450: |
Line 450: |
| ==Leydig cell tumour== | | ==Leydig cell tumour== |
| *[[AKA]] ''interstitial cell tumour''. | | *[[AKA]] ''interstitial cell tumour''. |
| | | {{Main|Leydig cell tumour}} |
| ===General===
| |
| *Arises from interstitial cell.
| |
| *May be associated with increased testosterone.
| |
| | |
| ===Gross===
| |
| *Solid, lobulated.
| |
| *Red/tan.
| |
| | |
| Image:
| |
| *[http://www.flickr.com/photos/35441329@N05/5056465301/sizes/m/in/photostream/ Leydig cell tumour (flickr.com)].
| |
| | |
| ===Microscopic===
| |
| Features:<ref name=Ref_GUP581>{{Ref GUP|581}}</ref>
| |
| *Vacuolization (cytoplasm) - '''key feature'''.
| |
| *Cytoplasm - clear to eosinophilic - '''important'''.
| |
| *''Reinke crystals'' - classic finding, usually not present.
| |
| **Cylindrical crystalloid eosinophilic cytoplasmic bodies.
| |
| *Nucleoli common.
| |
| *Round nuclei.
| |
| | |
| DDx:
| |
| *[[Spermatocytic seminoma]] - may have eosinophilic cytoplasm.
| |
| *[[Pregnancy luteoma]] - occurs during pregnancy, as the name implies.
| |
| | |
| ====Images====
| |
| <gallery>
| |
| Image:Leydig_cell_tumour1.jpg |Leydig cell tumour - low mag. (WC)
| |
| Image:Leydig_cell_tumour2.jpg |Leydig cell tumour - intermed. mag. (WC)
| |
| Image:Leydig_cell_tumour3.jpg |Leydig cell tumour - high mag. (WC)
| |
| </gallery>
| |
| www:
| |
| *[http://path.upmc.edu/cases/case404.html Leydig cell tumour - several images (upmc.edu)].
| |
| | |
| ===IHC===
| |
| *Inhibin-alpha.
| |
| *Calretinin.<ref>URL: [http://www.antibodybeyond.com/reviews/cell-markers/leydig-cell-marker.htm http://www.antibodybeyond.com/reviews/cell-markers/leydig-cell-marker.htm]. Accessed on: 18 May 2010.</ref><ref name=pmid15950053>{{cite journal |author=Bar-Shira Maymon B, Yavetz H, Yogev L, ''et al.'' |title=Detection of calretinin expression in abnormal immature Sertoli cells in non-obstructive azoospermia |journal=Acta Histochem. |volume=107 |issue=2 |pages=105–12 |year=2005 |pmid=15950053 |doi=10.1016/j.acthis.2005.02.002 |url=}}</ref>
| |
| *Melan A.<ref name=pmid12966351>{{cite journal |author=Yao DX, Soslow RA, Hedvat CV, Leitao M, Baergen RN |title=Melan-A (A103) and inhibin expression in ovarian neoplasms |journal=Appl. Immunohistochem. Mol. Morphol. |volume=11 |issue=3 |pages=244–9 |year=2003 |month=September |pmid=12966351 |doi= |url=}}</ref>
| |
| **AKA ''MART-1''.
| |
| **Expressed in [[melanoma]], [[adrenal gland|adrenal tissue]], steroid-secreting tumours.
| |
|
| |
|
| ==Sertoli cell nodule== | | ==Sertoli cell nodule== |