Abstract: |
Case History A 44-year-old white male had a history of a painful right testicle for 2 years. He was treated for epididymitis with no relief of symptoms. On physical examination, a 1.8-cm firm mass was noted on the posterior aspect of the right testicle. A battery of serum tumor markers was negative. No other neoplasm was found. On bisecting the testicle, a 2 × 0.8 × 0.5 cm firm yellow mass involved the mediastinum. A cyst measuring 0.3 cm was present at the inferior margin of the lesion Light microscopy speciments were fixed in Formalin and embedded in paraffin. The tissue was also stained for mucin, beta-human chorionic gonadotropin (HCG), alpha fetoprotein, estradiol, testosterone, and cytokeratins (monoclonal antibodies AE13)1For electron microscopy, fresh tissue was fixed in s-collidine-buffered glutaraldehyde and formaldehyde, postfixed in OsO4, and embedded in Maraglas-D.E.R. 732 epoxy resin2For orientation, thick sections stained with toluidine blue were studied. Ultrathin sections were stained with uranyl acetate followed by lead citrate and examined in a transmission electron microscope Study Figs. 13 (histology) and consider the differential diagnosis; then examine Figs. 48 (ultrastructure) and make a final diagnosis. © 1985 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted. |