Difference between revisions of "Spermatocytic tumour"

Jump to navigation Jump to search
no edit summary
m (correct missing .jpg extension)
Line 78: Line 78:
*CD117 -ve (7 positive/17).
*CD117 -ve (7 positive/17).
*CAM5.2 -ve (1 positive/17).
*CAM5.2 -ve (1 positive/17).
==Sign out==
<pre>
Left Testis, Radical Orchiectomy:
- Spermatocytic tumour, see comment.
- NEGATIVE for germ cell neoplasia in situ.
- Background testis with spermatogenesis and atrophy.
Comment:
Spermatocytic tumours are rare. They are not associated with germ cell neoplasia in situ (GCNIS) and typically not seen together with other germ cell types. 
The tumour stains as follows:
POSITIVE: CD117 (moderate, patchy), SALL4 (moderate, diffuse), CAM5.2 (dot-like staining), BCL2 (scattered cells, moderate membranous)
NEGATIVE: AE1/AE3, AFP, CD31, CD34, calretinin, hCG, CD3, CD10, CD20, CD30, CD45, GATA3, PLAP, PSA, OCT3/4.
This tumour (spermatoctyic tumour) was previously known as "spermatocytic seminoma".  The term "spermatocytic seminoma" is no longer recommended by the WHO, presumably as the name may: (1) create confusion with "seminoma" and (2) falsely raise the possibility of a mixed tumour (that develops in the context of GCNIS).
</pre>
===Micro===
This tumour has three cell types with spireme chromatin in the larger and intermediate cell type. Infiltrating lymphocytes are absent.
The background testis has some spermatogenesis and atrophic change. Germ cell neoplasia in situ (GCNIS) is ABSENT.  The seminiferous tubules adjacent to the tumour, where visualized, are atrophic.


==See also==
==See also==
48,830

edits

Navigation menu