Malavalli Gayathri, Karra Shilpa, Muniyappa Bharathi
Assistant Professor, Department of Pathology.
J Clin Diagn Res. 2013 Jul;7(7):1439-40. doi: 10.7860/JCDR/2013/5404.3161. Epub 2013 Jul 1.
Mixed Germ Cell Tumours (MGCTs) of the testis are the second most common testicular tumours. In the 10 years retrospective study which was done on testicular neoplasms at our institute, this reported case accounted for 0.4%. We are presenting the case of a 30 year old male with a painless testicular swelling. Abdominal ultrasonography disclosed it as a seminoma and the FNAC report was Mixed Germ Cell tumour of the testis. Histopathology concurred the cytological diagnosis and it additionally revealed the concomitant presence of a Yolk Sac Tumour (YST) and a Teratocarcinoma in a Non-Seminomatous Tumour of the testis. This case attains uniqueness with the very rare presence of the yolk sac tumour with the teratocarcinoma component in Non-Seminomatous Testicular Tumours. The reason behind the reporting of the case was its poor therapeutic response.
睾丸混合性生殖细胞肿瘤(MGCTs)是第二常见的睾丸肿瘤。在我们研究所对睾丸肿瘤进行的10年回顾性研究中,该报告病例占0.4%。我们报告一例30岁男性,有无痛性睾丸肿大。腹部超声检查显示为精原细胞瘤,细针穿刺活检(FNAC)报告为睾丸混合性生殖细胞肿瘤。组织病理学与细胞学诊断一致,此外还显示在睾丸非精原细胞瘤中同时存在卵黄囊瘤(YST)和畸胎癌。该病例因在睾丸非精原细胞瘤中罕见地同时存在卵黄囊瘤和畸胎癌成分而独具特色。报告该病例的原因是其治疗反应不佳。