Case 90

A 46-year-old male with a diagnosis of testicular mixed germ cell tumor of choriocarcinoma and mature cystic teratoma. He was found to have a large inguinal lymph node.

1. How would you sign out this case?

   A: metastatic germ cell tumor

   B: metastatic malignant teratoma

   C: mature teratomatous elements involving lymph nodes

   D: metastatic mucinous adenocarcinoma

   
   
   
   

Answer

Reference: https://documents.cap.org/protocols/Testis.RPL_4.2.1.0.REL_CAPCP.pdf?_gl=1*1kptco8*_ga*MTI2Mjc4MjcwMS4xNzE5NjcwNTUw*_ga_97ZFJSQQ0X*MTc0MzYwOTkyOC40MS4wLjE3NDM2MDk5MzMuMC4wLjA.

Case credit: UCSD Pathology

Author: Wangpan Jackson Shi, MD