Surgical Pathology Cancer Case Summary

TESTIS:             Report

TESTIS: Cytologic evaluation of metastatic site

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology (specify type: ____________________)

SPECIMEN SITE: _____________________________

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 OF METASTATIC TUMOR

Germ Cell Tumor

___ Seminoma

___ Embryonal carcinoma

___ Yolk sac tumor

___ Choriocarcinoma

___ Placental site trophoblastic tumor

___ Teratoma

___ Mature

___ Immature

___ Other (specify: ___________________)

___ Mixed germ cell tumor

___ Other (specify: _______________________)

Sex Cord-Stromal Tumor

___ Leydig cell tumor

___ Sertoli cell tumor

___ Granulosa cell tumor

___ Mixed and indeterminate (unclassified) sex cord stromal tumor

Mixed Germ Cell-Sex Cord-Stromal Tumor

___ Gonadoblastoma

___ Others (specify: ______________________)

___ Other (specify: ___________________________)

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Inflammation

___ Necrosis

___ Fibrosis

___ Foam cell reaction

___ Other (specify: _____________________)

COMMENT

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