Genitourinary Tract

Genitourinary Tract

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Monday, September 06, 2010               
 
 Teratoma
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1: Mature Teratoma: Cartilage
Comments: Teratoma is the 2nd most common testicular germ cell tumor in children (after Yolk Sac Tumor). Mature teratomas display a variety of somatic-type tissues, including cartilage (shown here), muscle (smooth & skeletal), intestinal-type glands (seen in images 3 & 4), and squamous epithelium.
2: Mature Teratoma: Skin
Comments: Islands of squamous epithelium in a case of mature teratoma in an adult male.
3: Mature Teratoma: Intestinal-type glands
Comments: Intestinal-type glands complete with goblet cells in a case of mature teratoma.
4: Mature Teratoma: Intestinal-type glands
Comments: The intestinal-type glands show nuclear hyperchromasia; however, significant atypia is not present. It is not uncommon to find cytologic atypia in such tissues in post-pubertal males. Atypia does not appear to have any progrostic relevance from the available evidence.
5: Immature Teratoma: Primitive stroma
Comments: Low-grade immature myxomatous stroma surrounds a tubular structure in this immature teratoma.
6: Immature Teratoma: Blastema
Comments: Islands of small hyperchromatic cells (blastema) are surrounded by myxomatous stroma and primitive glands.
7: Immature Teratoma: Primitive neuroepithelium
Comments: This immature teratoma contains primitive neuroepithelium consisting of small hyperchromatic cells arranged in rosettes.
8: Testis : Primary Carcinoid
Comments: Primary testicular carcinoid is considered to be a monodermal form of teratoma. About 25% of testicular carcinoids contain other teratomatous elements. Metastases from elsewhere must be ruled out. In this image, carcinoid is on the lower right; uninvolved testicular parenchyma (seminiferous tubules) are on the upper left.
9: Testis : Primary Carcinoid
Comments: The tumor has typical morphology seen in other locations. Nests and clusters of cells are separated by fibrous stroma. They have eosinophilic cytoplasm and round nuclei with “salt and pepper” chromatin. Primary testicular carcinoid has good prognosis with metastasis occurring in only about 12% of cases. Cancer 1993 Sept; 72(5):1726-32.
Last Updated: Tuesday, August 03, 2010
 
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