Surgical Pathology Cancer Case Summary

TESTIS:             Report

TESTIS: Biopsy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Inguinal exposure with testicular isolation and biopsy

___ Transcrotal needle biopsy

___ Transcrotal open biopsy

___ Metastatic site (specify: ___________________)

SERUM HORMONE LEVELS

___ Unknown

___ Serum marker studies within normal limits

___ Alpha-fetoprotein (AFP) elevation

___ b-subunit of human chorionic gonadotropin (b -hCG) elevation

___ Lactate dehydrogenase (LDH) elevation

MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Cannot be determined

Germ Cell Tumors

___ Intratubular germ cell neoplasm, unclassified

___ Seminoma

___ Seminoma with syncytiotrophoblastic cells

___ Spermatocytic seminoma

___ Spermatocytic seminoma with a sarcomatous component

___ Embryonal carcinoma

___ Yolk sac tumor

___ Choriocarcinoma

___ “Monophasic” type

___ Placental site trophoblastic tumor

___ Teratoma

___ Mature

___ Immature

___ With a secondary malignant component

___ Monodermal variant: Carcinoid

___ Monodermal variant: Primitive neuroectodermal tumor

___ Mixed germ cell tumor

(Components and percentages:________

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___ Polyembryoma

___ Diffuse embryoma

Sex Cord-Stromal Tumors

___ Leydig cell tumor

___ Sertoli cell tumor

___ Large cell calcifying Sertoli cell tumor

___ Sclerosing Sertoli cell tumor

___ Granulosa cell tumor

___ Adult type

___ Juvenile type

___ Mixed and indeterminate (unclassified) sex cord stromal tumor

Mixed Germ Cell-Sex Cord-Stromal Tumors

___ Gonadoblastoma

___ Others (specify: ______________________)

___ Other (specify: ___________________________)

EXTENT OF INVASION

___ Not applicable

___ Cannot be determined

___ Intratubular germ cell neoplasm (carcinoma in situ)

___ Invasion of tunica albuginea

___ Invasion of paratesticular structures

BLOOD/LYMPHATIC VESSEL INVASION

___ Not applicable

___ Absent

___ Present

___ Indeterminate

ADDITIONAL PATHOLOGIC FINDINGS

___ Not applicable

___ None identified

___ Inflammation (type: __________________)

___ Leydig cell hyperplasia

___ Scarring

___ Hemosiderin-laden macrophages

___ Intratubular calcification

___ Atrophy

___ Other (specify: _____________________)

COMMENT

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