Mucinous Adenocarcinoma of Testis - a Rare Case Report (original) (raw)
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A 5 Year Prospective and Retrospective Study-Of Tumors and Tumor-Like Lesions of Testis
IOSR Journals , 2019
Introduction: Testicular tumors form an interesting group of malignant neoplasms with many exceptional and even unique epidemiological features.They occur mainly in young and middle aged adults and this suggests that their risk factors are different from those relevant to most epithelial cancers. Despite the major advances there is agap in the knowledge in understanding the origin,pathological process and therapeutics of testicular and paratesticulartumors and tumor like conditions. This is a prospective as well as retrospective study,undertaken in the department of pathology,Siddhartha Medical College,Vijayawada; during the period from March 2014 to March 2019.Testicular specimens sent to the Department of Pathology,during this period were included in the study. Materials and methods: The source of data for both prospective and retrospective study are testicular specimens received in the department of pathology,SMC,Vijayawada during the period from March 2014 to March 2019 (5 years). The macroscopic and microscopic findings in these specimens were tabulated and analysed.In cases of retrospective study the macroscopic findings were collected from records and sections cut from blocks were analysed Results: A total of 80 cases were studied in 5 years.Out of 80 cases, retrospective component study included 41 specimens and prospective component study included 39 specimens Testicular diseases were relatively rare. Age group most commonly involved was 21-40 years of age. Testicularlesions were rare at the extremes of age Majority of the testicular lesions were non neoplastic comprising of 62cases (77.50%), out of total 80 casesNeoplastic lesions were found in 18 cases (22.50%), out of total 80cases.Germ cell tumors were the most common neoplastic lesions comprising of16 cases and forming 88.89% of all testicular neoplasms. Conclusion: Testicular diseases were relatively rare. Although testicular disease is usually only encountered by the pathologist,urologist and medical oncologist of large medical centres with a special interest and experience in this field,the great advances in treatment make it imperative to provide the exact diagnosis and to use the correct therapeutic approach when one encounters such patientsGerm cell tumors were the most common neoplastic lesions comprising of16 cases and forming 88.89% of all testicular neoplasms. Histopathological diagnosis of teratoma was made in three cases making 16.67% of all testicular neoplasms Mixed germ cell tumor diagnosis was made in 6 cases forming 33 .335% of all testicular neoplasms. THE study was done to know the diverse histological structure and variation in the incidence of lesions in the different parts of the world,--
Benign and Malignant Neoplasms of the Testis and Paratesticular Tissue
Surgical Pathology Clinics, 2009
B enign and malignant tumors of the testes and paratesticular tissues present an interesting spectrum of diagnostic entities often encountered in routine surgical pathology practice. Germ cell tumors are the most common tumors of the testes and, despite a rising incidence, have excellent prognosis because of their radiosensitivity and/or effective chemotherapeutic agents. The proper classification of these tumors aids in the choice of appropriate treatment options. This article reviews benign and malignant neoplastic entities of the testes and paratesticular tissues and illustrates the classic pathologic characteristics. The differential diagnosis, ancillary studies, clinical significance, and presentation are discussed also.
2016
Objectives: To study the prevalence and histomorphologic spectrum of tumor and tumor like lesions of testis and paratesticular tissues. Material and Methods: This was a prospective study conducted involving 59 cases. The clinical details were recorded from the case records. Each specimen was subjected to detailed gross examination and the histopathological features were noted on hematoxylin and eosin stained slides of all the specimens. The clinical data, macroscopic and microscopic findings in these cases were tabulated and analyzed. Descriptive parameters like mean, percentage etc were calculated using SPSS software. Results: Prevalance of testicular tumors was 0.26%. Right testis [31 cases (52.54%)] was involved more commonly than the left [28 cases (47.45%)]. Majority of the testicular lesions were tumor like lesions comprising of 41(69.50%) of the cases followed by tumors which accounted for 18 (30.50%) cases. Seminoma was the commonest of germ cell tumor (33.30%) followed by 27.70% of germ cell tumor of more than one histologic type. Non-specific orchitis was commonest of all tumor like lesions (54.23%) followed by tuberculous orchitis. There were one case (5.60%) each of adenomatoid tumor and rhabdomosarcoma involving paratesticular region. Conclusion: Tumor and tumor like lesions of testis have similar presentations in the form of scrotal swelling and pain. Majority of the testicular lesions were tumor like lesions. Among tumors seminoma was the commonest neoplasm. Histopathologic examination and routine hematoxylin and eosin staining can help in accurately diagnosing and determining the prognosis of these rare tumor and tumor like lesions of testis and para testicular region.
Histopathological spectrum of testicular lesions-A retrospective study
IP Innovative Publication Pvt. Ltd., 2017
Introduction & Objectives: Testis is affected by both neoplastic and non-neoplastic conditions. Although testicular neoplasms are rare, most of the previous studies of testis are on them only. Our study was undertaken to study histopathological spectrum, age-wise distribution, laterality and clinical presentation of all testicular lesions (both neoplastic and non-neoplastic). Materials and Method: This was a three year retrospective study including all the testicular specimens referred to Department of Pathology, GMC Jammu from 1st Jan 2014 to 31st Dec 2016. Results: The study comprised a total of 57 cases. Non-neoplastic testicular lesions were more common than the neoplastic ones (93 vs. 7%). Non-neoplastic lesions were most common in 2nd decade of life with a wide age range of 5 months-80 years. Among non-neoplastic lesions (n=53), undescended testis (39.62%) was the most common non-neoplastic lesion followed by inflammatory lesions (24.53%), infarcted testis (torsion, 18.86%) and atrophic testis (16.98%). Inflammatory lesions included nonspecific epididymo-orchitis (15.1%), testicular abscess (5.66%) and tubercular epididymo-orchitis (3.77%). Only 4 cases (7%) of testicular neoplasm were diagnosed in the study period amounting to only 1.33 case/ year. All 4 cases were germ cell neoplasms with age range of 14 months-35 years and mean age 20.54 years. One case each of seminoma, yolk sac tumour, immature teratoma and mixed germ cell tumour (mixed teratoma and seminoma) was diagnosed. All the lesions were unilateral and 58% of non-neoplastic lesions were right sided. Among both neoplastic and non-neoplastic lesions, the most common symptom was testicular (scrotal/inguinoscrotal) swelling (87%). The second most common presenting complaint was empty scrotum (36.84%) and pain (36%). Inflammatory lesions in addition had history of fever(22.80%). No tumour was found in undescended testes unlike western countries. Conclusion: Majority of testicular lesions are non-neoplastic and neoplastic lesions are rare, most being germ cell neoplasms. Non-neoplastic lesions are seen in all age groups but neoplasms are usually seen in younger age. Non-neoplastic lesions mimic neoplastic ones clinically, testicular swelling being the most common complaint. So histopathological examination is necessary to serve an accurate diagnosis of testicular swellings. Our findings are comparable with most studies.
Tumor of the testis of extragonadal origin accidentally found in clinical examination
Introduction: Metastatic cancers of the testis are rare accounting for less than 4% of all testicular tumors. Among most rare are those of colon cancer. Case report:A 58 year old man presented with suprapubic pain in the ED. In clinical examination a painless right testicular mass was noted. He reported an ileo-hemicolectomy for a stage IIIB sigmoid colon adenocarcinoma 3 years priory to his current visit. Pathology examination of the orchidectomy specimen diagnosed metastatic colon adenocarcinoma. Although patient refused further treatment he is disease free 12 months after surgery. Conclusion: Although rare, metastasis to testes should be considered as a differential diagnosis especially in older men with history suggesting the presence of a non-testicular malignancy
Journal of Shaheed Suhrawardy Medical College, 2019
Undescended testis is a common risk factor for the testicular neoplasm. The risk of malignancy in an undescended testis is highest when the testis lies in the abdomen. It usually presents with a painless intraabdominal lump. Seminoma is the most common adult germ cell tumour of testis whereas Yolk sac tumour in seen in the pediatric age group. Pure yolk sac testicular tumor in an adult is extremely uncommon. Here we present a case where an adult male presented to us with a painless left sided intraabdominal lump with undescended testis on the same side was previously diagnosed as metastatic adenocarcinoma of unknown primary. In a private hospital he received three cycles of chemotherapy; but the lump did not reduce in size and he was reffered to our care for better management. The lump was excised and histopathological report revealed yolk sac tumour of left testis which is a rare presentation in adult. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 115-117