Case 263

Surgical Pathology Case
 

CLINICAL INFORMATION

  48-year-old male, right testicular mass.

GROSS DESCRIPTION

 

The 413 grams testicle specimen (14.0 × 7.5 × 7.5 cm)  has a smooth, maroon and tan external surface with an unremarkable 5.0 × 1.5 spermatic cord. The specimen is bisected revealing a 8.0 × 7.0 × 7.0 cm light yellow and tan fleshy mass with multiple cysts and extensive necrosis. The largest cyst measures 2.0 × 1.5 ×1.0 cm. The tumor does not grossly extend into the tunica albuginea or epididymis. The remainder of the testicular parenchyma is red-tan.

 
     
 

HE, 2×

HE, 4×

     
 

HE, 10×

HE, 20×

     
 

HE, 20×

HE, 40×

     
 

HE, 40×

HE, 40×

     
 

HE, 40×

HE, 40×

     
 

Click here for diagnosis and case discussion.

 

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

Gross photo: BF. Microscopic photo: Zenggang Pan

Discussion: Zenggang Pan