Difference between revisions of "Spermatocytic tumour"

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#redirect [[Testis#Spermatocytic_seminoma]]
{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Spermatocytic_seminoma_high_mag.jpg
| Width      =
| Caption    = Spermatocytic seminoma
| Micro      = three cell sizes: (1) small cells (6-8 µm) - with a large NC ratio, (2) medium cells (15-18 µm) with prominent nucleoli and spireme chromatin, (3) Large cells (50-100 µm) with spireme chromatin; mucoid lakes, intratubular apread
| Subtypes  =
| LMDDx      = [[DLBCL]], [[seminoma]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Site      = [[testis]]
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      =
| Symptoms  =
| Prevalence =
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  =
| Other      =
| ClinDDx    = other [[germ cell tumours]], [[lymphoma]]
}}
'''Spermatocytic_seminoma''' is a rare benign testicular tumour.
 
==General==
*Rare tumour.
*Only one case of metastases in 200 cases.<ref name=pmid7927308>{{cite journal |author=Eble JN |title=Spermatocytic seminoma |journal=Hum. Pathol. |volume=25 |issue=10 |pages=1035–42 |year=1994 |month=October |pmid=7927308 |doi= |url=}}</ref>
*Orchiectomy is curative.
*Not reported/found in females.<ref name=pmid7927308/>
*Typically older - mean age 50s.<ref name=pmid7927308/>
 
===Epidemiology===
*Does NOT arise from ''[[intratubular germ cell neoplasia]]'' (ITGCN)<ref>{{cite journal |author=Müller J, Skakkebaek NE, Parkinson MC |title=The spermatocytic seminoma: views on pathogenesis |journal=Int. J. Androl. |volume=10 |issue=1 |pages=147–56 |year=1987 |month=February |pmid=3583416 |doi= 10.1111/j.1365-2605.1987.tb00176.x|url=}}</ref> - '''not''' considered a subtype of [[seminoma]].
 
==Microscopic==
Features:<ref>{{cite book |author=Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. |title=Robbins and Cotran pathologic basis of disease |publisher=Elsevier Saunders |location=St. Louis, Mo |year=2005 |pages= |edition=7th |isbn=0-7216-0187-1 |oclc= |doi= |accessdate=}}</ref>
*Population of three cells.
*#Small cells (6-8 µm) - with a large NC [[ratio]].
*#*Look like secondary spermatocytes.
*#*May be confused with (mature) lymphocytes.
*#Medium cells (15-18 µm) with prominent nucleoli.
*#*Filamentous chromatin (AKA ''spireme chromatin'').<ref name=pmid7927308>{{cite journal |author=Eble JN |title=Spermatocytic seminoma |journal=Hum. Pathol. |volume=25 |issue=10 |pages=1035–42 |year=1994 |month=October |pmid=7927308 |doi= |url=}}</ref>
*#Large cells (50-100 µm).
*#*Filamentous chromatin.
*Mucoid lakes.
*Intratubular spread.
 
Notes:
*''Spireme'' = the tangle of filaments in prophase portion of mitosis.<ref>URL: [http://www.thefreedictionary.com/spireme http://www.thefreedictionary.com/spireme]. Accessed on: 4 June 2010.</ref>
*May have eosinophilic cytoplasm (dependent on lab).
**Usually larger than [[Leydig cell tumour]].
 
DDx:
*[[DLBCL]].
*[[Seminoma]].
 
===Images===
<gallery>
Image:Spermatocytic_seminoma_high_mag.jpg | Spermatocytic seminoma - high mag. (WC)
Image:Spermatocytic_seminoma_intermed_mag.jpg | Spermatocytic seminoma - intermed. mag. (WC)
</gallery>
==IHC==
Features:<ref name=pmid10223302>{{Cite journal  | last1 = Kraggerud | first1 = SM. | last2 = Berner | first2 = A. | last3 = Bryne | first3 = M. | last4 = Pettersen | first4 = EO. | last5 = Fossa | first5 = SD. | title = Spermatocytic seminoma as compared to classical seminoma: an immunohistochemical and DNA flow cytometric study. | journal = APMIS | volume = 107 | issue = 3 | pages = 297-302 | month = Mar | year = 1999 | doi =  | PMID = 10223302 }}</ref>
*PLAP -ve (0 positive/17).
*CD117 -ve (7 positive/17).
*CAM5.2 -ve (1 positive/17).
 
==See also==
*[[Testis]].
*[[Genitourinary pathology]].
 
==References==
{{Reflist|1}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Genitourinary pathology]]

Revision as of 21:02, 5 July 2013

Spermatocytic tumour
Diagnosis in short

Spermatocytic seminoma
LM three cell sizes: (1) small cells (6-8 µm) - with a large NC ratio, (2) medium cells (15-18 µm) with prominent nucleoli and spireme chromatin, (3) Large cells (50-100 µm) with spireme chromatin; mucoid lakes, intratubular apread
LM DDx DLBCL, seminoma
Site testis
Clin. DDx other germ cell tumours, lymphoma

Spermatocytic_seminoma is a rare benign testicular tumour.

General

  • Rare tumour.
  • Only one case of metastases in 200 cases.[1]
  • Orchiectomy is curative.
  • Not reported/found in females.[1]
  • Typically older - mean age 50s.[1]

Epidemiology

Microscopic

Features:[3]

  • Population of three cells.
    1. Small cells (6-8 µm) - with a large NC ratio.
      • Look like secondary spermatocytes.
      • May be confused with (mature) lymphocytes.
    2. Medium cells (15-18 µm) with prominent nucleoli.
      • Filamentous chromatin (AKA spireme chromatin).[1]
    3. Large cells (50-100 µm).
      • Filamentous chromatin.
  • Mucoid lakes.
  • Intratubular spread.

Notes:

  • Spireme = the tangle of filaments in prophase portion of mitosis.[4]
  • May have eosinophilic cytoplasm (dependent on lab).

DDx:

Images

  • Spermatocytic seminoma - high mag. (WC)

  • Spermatocytic seminoma - intermed. mag. (WC)

IHC

Features:[5]

  • PLAP -ve (0 positive/17).
  • CD117 -ve (7 positive/17).
  • CAM5.2 -ve (1 positive/17).

See also

References

  1. ↑ 1.0 1.1 1.2 1.3 Eble JN (October 1994). "Spermatocytic seminoma". Hum. Pathol. 25 (10): 1035–42. PMID 7927308.
  2. ↑ Müller J, Skakkebaek NE, Parkinson MC (February 1987). "The spermatocytic seminoma: views on pathogenesis". Int. J. Androl. 10 (1): 147–56. doi:10.1111/j.1365-2605.1987.tb00176.x. PMID 3583416.
  3. ↑ Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. (2005). Robbins and Cotran pathologic basis of disease (7th ed.). St. Louis, Mo: Elsevier Saunders. ISBN 0-7216-0187-1.
  4. ↑ URL: http://www.thefreedictionary.com/spireme. Accessed on: 4 June 2010.
  5. ↑ Kraggerud, SM.; Berner, A.; Bryne, M.; Pettersen, EO.; Fossa, SD. (Mar 1999). "Spermatocytic seminoma as compared to classical seminoma: an immunohistochemical and DNA flow cytometric study.". APMIS 107 (3): 297-302. PMID 10223302.
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