WSI23-44

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Request type Study

Subspecialty Genitourinary

Set Genitourinary

Topic Testis

Presenter Sadow, Peter M.,MD, PhD

Date and time Saturday, April 1, 2023 12:00 PM

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Case	Clinical history	Requester	Diagnosis
Case	Clinical history	Requester	Diagnosis
Case 1	33 year old male with right testis mass.	Si787	Malignant Sertoli cell tumor (3.5 cm)
Case 2	21 year old male with right testicular mass.	Si787	Mixed malignant germ cell tumr (4.6 cm) confined to testis pTINX. 60% embryonal. 40% yolk sac. + germ cell neoplasia in situ
Case 3	19 year old male with left testicular mass.	Si787	473.8 g malignant mixed germ cell tumor 10.1 cm. 80% yolk sac tumor. 20% teratoma. + LVI. Pt@ NX M16
Case 4	44 year old male with history of metastatic seminoma post chemo	Si787	Focal scar with hyalinization and loss of seminiferous tubules c/w killed tumor 1.1 cm.
Case 5	29 year old male with 1° infertility and unobstructed azoospermia	Si787	Seminiferous tubules with features of mixed atrophy. Scattered tubules with + spermatogenesis. Most with maturation arrest and some with Sertoli only.
Case 6	18 year old hockey player with abdominal discomfort and CT scan to r/o colitis found to have 9 mm right-sided testis mass	Si787	Epithelioid hemangiom a (0.9 cm)
Case 7	5 month old male with right orchiectomy	Si787	Testis with fibrosis and calcification c/w intrauterine testicular infarction
Case 8	40 year old male with left testicular tumor	Si787	Semininoma (4.9 cm) • confined to testis. Intratubular germ cell neoplasia
Case 9	43 year old male with burn injury following motor vehicle accident	Si787	Bilateral testes. Surface necrosis and necroinflammatory debris central fibrosis • sclerosis and non-maturing spermatogenesis
Case 10	58 year old man with recurrent testicular pain and no evidence of neoplasia	Si787	55.2 gm multiloculated • dilated • sperm-filled spaces in the jxn of the rete testis and epididymus c/w spermatocele (1.7 cm). TINE neoplasia.
Case 11	27 year old male with a 10 cm retroperitoneal mass and h/o right testicular mass thought to be a burned out germ cell tumor	Si787	Metastatic germ cell tumor (8.6 cm) composed of teratoma. 61 other lymph nodes are negative.
Case 12	32 year old male with left testicular tumor	Si787	Mixed malignant germ cell tumor (5.4 cm). Yolk sac (70%). Seminoma (25%). Embryonal carcnoma (5%). Intratubular germ cell neoplasia.
Case 13	14 year old male awoke with left testicular pain and scrotal swelling. No h/o trauma or sexual activity.	Si787	Hemorrhagic testicular parenchyma with largely preserved seminiferous tubules c/w acute torsion/infarction
Case 14	19 year old male with epidural mass and incidental testicular mass seen at time of surgery for epidural mass. Epidural mass (MS09-24647). Testicle (MS09-A24737)	Si787	Epidural - metastatic germ cell tumor with component of yolk sac tumor. Testis - malignant mixed germ cell tumor. 80% yolk sac. 20% teratoma.
Case 15	33 year old male with painful left testicular mass on self exam	Si787	Malignant mixed Germ cell tumor (1.3 cm). Yolk sac 45%. Embryonal carcinoma 45%. Seminoma 4%. Teratoma 1%. Intratubular germ cell neoplasia confined to testis. No LVI. pT1 Nx Mx
Case 16	75 year old male with 3.5 cm spermatic cord mass	Si787	Dedifferentiated liposarcoma • low to intermediate grade
Case 17	55 year old male with tunica vaginalis plaque and right cord mass	Si787	Extensive granulomatous inflammation to polarizable material with an associated florid reactive mesothelial proliferation. TINEM
Case 18	57 year old male with unilateral testicular mass (left) and prior history of grade I follicular lymphoma	Si787	Follicular lymphoma • grade 1-2 (60%). Diffuse Large B cell lymphoma (40%)
Case 19	33 year old male with right testis mass.	Emw8	Malignant Sertoli cell tumor (3.5 cm).
Case 21	44 year old male with history of metastatic seminoma post chemo/	Emw8	Focal scar with hyalinization and loss of seminiferous tubules c/w killed tumor 1.1 cm.
Case 24	29 year old male with 1° infertility and unobstructed azoospermia.	Emw8	Seminiferous tubules with features of mixed atrophy. - scattered tubules with + spermatogenesis - most with maturation arrest and some with Sertoli only
Case 25	5 month old male with right orchiectomy.	Emw8	Testis with fibrosis and calcification c/w intrauterine testicular infarction.
Case 27	40 year old male with left testicular tumor/	Emw8	Seminoma (4.9 cm) • confined to testis. Intratubular germ cell neoplasia.
Case 28	5 month old male with right orchiectomy.	Emw8	Testis with fibrosis and calcification c/w intrauterine testicular infarction.
Case 30	40 year old male with left testicular tumor/	Emw8	Seminoma (4.9 cm) • confined to testis. Intratubular germ cell neoplasia.
Case 31	27 year old male with a 10 cm retroperitoneal mass and h/o right testicular mass thought to be a burned-out germ cell tumor.	Emw8	Metastatic germ cell tumor (8.6 cm) composed of teratoma. 61 other lymph nodes are negative.
Case 32	32 year old male with left testicular tumor.	Emw8	Mixed malignant germ cell tumor (5.4 cm). Yolk sac (70%) Seminoma (25%) Embryonal carcinoma (5%) Intratubular germ cell neoplasia.
Case 33	14 year old male awoke with left testicular pain and scrotal swelling. No h/o trauma or sexual activity.	Emw8	Hemorrhagic testicular parenchyma with largely preserved seminiferous tubules c/w acute torsion/infarction.
Case 34	43 year old male with burn injury following motor vehicle accident.	Emw8	Bilateral testes Surface necrosis and necroinflammatory debris • central fibrosis • sclerosis and non-maturing spermatogenesis.
Case 35	21 year old male with right testicular mass.	Emw8	Mixed malignant germ cell tumor (4.6 cm) confined to testis. PT1NX 60% embryonal 40% yolk sac + germ cell neoplasm in situ
Case 36	40 year old male with left testicular tumor.	Emw8	Seminoma (4.9 cm) • confined to testis. Intratubular germ cell neoplasia.
Case 37	58 year old man with recurrent testicular pain and no evidence of neoplasia.	Emw8	55.2 gm multiloculated • dilated • sperm-filled spaces in the junction of the rete testis and epididymus c.w spermatocele (1.7 cm) • TINE neoplasia.
Case 38	19 year old male with epidural mass and incidental testicular mass seen at time of surgery for epidural mass. Epidural mass (MS09-24647). Testicle (MS09-A24737)	Emw8	Epidural - metastatic germ cell tumor with component of yolk sac tumor. Testis - malignant mixed germ cell tumor 80% yolk sac 20% teratoma
Case 39	33 year old male with painful left testicular mass on self exam.	Emw8	Malignant mixed germ cell tumor (1.3 cm). Yolk sac 45% Embryonal carcinoma 45% Seminoma 4% Teratoma 1% Intralobular germ cell neoplasia confined to testis No LVI PT1 NX MX
Case 40	75 year old male with 3.5 cm spermatic cord mass.	Emw8	Dedifferentiated liposarcoma • low to intermediate grade.
Case 41	57 year old male with unilateral testicular mass (left) and prior history of grade I follicular lymphoma.	Emw8	Follicular lymphoma • grade 1-2 (60%) Diffuse Large B cell lymphoma (40%)
Case 42	55 year old male with tunica vaginalis plaque and right cord mass.	Emw8	Extensive granulomatous inflammation to polarizable material with an associated bland reactive mesothelial proliferation. TINEM.