Case 34

Hematopathology Case
 

CLINICAL INFORMATION

  66 year-old mass. Right testicular mass.

GROSS DESCRIPTION

 

The specimen consists of one right unilateral, 245 gram, orchiectomy specimen consisting of one enlarged testicle (7.8 x 7.0 x 6.0 cm), epididymis (5.0 x 3.5 x 3.0 cm), and spermatocord (5.5 cm in length by 2.0 cm in diameter). On serial sectioning there is a well-defined mass with a lobulated, tan, glistening cut surface measuring 8.0 x 6.2 x 6.0 cm and compressing normal testicular tissue at the hilum. There are small, multifocal areas of hemorrhages within the tumor. The tumor mass also extends into and involves the epididymis. The tumor does not extend into or beyond the tunica albuginea. The tumor mass also extends from the epididymis into the proximal portion of the spermatocord, however, there is no tumor present at the spermatocord or surgical margin.

     
 
 

HE, 4

HE, 10

 
 

HE, 10

HE, 20

 
 

HE, 20

HE, 40

 
 

HE, 40

HE, 40

   
 

HE, 40

 

     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan