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Case of the Week

2021-01 / January 04

Contributors:  Anu Abraham, Varsha Manucha

A man in his 50s presented with constipation and urinary frequency. CT scan identified a 20 cm abdominal mass. A biopsy of the mass was performed. He underwent orchiectomy two years back for a 11 cm right testicular mass. Biopsy from the abdominal mass is shown in figures 1 and 2. Figures 3-5 show the tumor in the testis that was retrospectively reviewed.

Click on the below thumbnails to enlarge photos.

5 photo(s) Updated on: December 31, 2020


1. What is the correct diagnosis?

a. Seminoma with atypia (formerly anaplastic seminoma)

b. Metastatic Leydig cell tumor

c. Sertoli cell tumor

d. Granulosa cell tumor

e. Embryonal carcinoma

About GUPS

The Genitourinary Pathology Society (GUPS) was formed with the vision of advancing the care of patients with urologic diseases through enhancements of best practices, research, and education in the subspecialty of Urological Pathology.

GUPS is an official Companion Society of the United States and Canadian Academy of Pathology (USCAP).



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