Granulosa cell tumour of testis, adult type
Epidemiology
This is a very rare tumour.
Clinical features
20% of cases are associated with gynaecomastia.
Histopathology
The architecture shows the same patterns as seen in the ovary. Nuclear grooving is of variable prominence.
Immunohistochemistry
EMA
|
negative2,0/13
|
vimentin
|
positive1,2, 1/13
|
cytokeratins
|
variable reports1,2,
1/1cryostat sections only, lost in parafin sections3
|
S-100
|
positive1
|
inhibin
|
positive1
|
ER
|
1/1cryostat sections only, lost in parafin sections3
|
PR
|
1/13
|
LCA
|
0/13
|
|
|
Differential diagnosis
-
sex cord-stromal tumour, unclassified; may contain focal granulosa tumour-like areas, but is not pure.
-
Leydig cell tumour; may show nuclear grooving.
Prognosis
About 20% of tumours are reported as showing malignant behaviour.
References
1Shanks JH, Iczkowski KA. Non-germ cell tumours of the testis. Current Diagnostic Pathology 2002;8:83-93.
2Jimenez-Quintero, L. P., Ro, J. Y., Zavala-Pompa, A., Amin, M. B., Tetu, B., Ordonez, N. G., Ayala, A. G. Granulosa cell tumor of the adult testis: a clinicopathologic study of seven cases and a review of the literature. Hum Pathol 1993;24:1120-5.
3Due, W., Dieckmann, K. P., Niedobitek, G., Bornhoft, G., Loy, V., Stein, H. Testicular sex cord stromal tumour with granulosa cell differentiation: detection of steroid hormone receptors as a possible basis for tumour development and therapeutic management. J Clin Pathol 1990;43:732-7.
This page last revised 2.12.2002.
©SMUHT/PW Bishop