Abstract
The diagnosis of testicular neoplasms is often based solely on morphologic pattern recognition, but there are newer markers that can play a significant role in the identification of germ cell tumors such as SALL4, Nanog, LIN28 and OCT4. Similarly, GAL-3 and other newer markers can be helpful in the identification of sex cord/stromal tumors. Many of the markers used in the identification of testicular tumors may be present in normal testicular cells as well, but their expression patterns may change according to the life stage of the patient. This chapter attempts to address that question, although the literature is somewhat sparse. Markers of normal paratesticular epithelia are included, as well as markers in paratesticular tumors and adenocarcinomas in the male pelvis. Basic algorithms are provided to assist in the workup of testicular and paratesticular neoplasms.
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References
Amin MB. Selected other problematic testicular and paratesticular lesions: rete testis neoplasms and pseudotumors, mesothelial lesions and secondary tumors. Mod Pathol. 2005;18 Suppl 2:S131–45.
Augusto D, Leteurtre E, De La Taille A, Gosselin B, Leroy X. Calretinin: a valuable marker of normal and neoplastic leydig cells of the testis. Appl Immunohistochem Mol Morphol. 2002;10(2):159–62.
Bahrami A, Ro JY, Ayala AG. An overview of testicular germ cell tumors. Arch Pathol Lab Med. 2007;131(8):1267–80.
Cao D, Li J, Guo CC, Allan RW, Humphrey PA. SALL4 is a novel diagnostic marker for testicular germ cell tumors. Am J Surg Pathol. 2009;33(7):1065–77.
Cheville JC, Rao S, Iczkowski KA, Lohse CM, Pankratz VS. Cytokeratin expression in seminoma of the human testis. Am J Clin Pathol. 2000;113(4):583–8.
de Jong J, Stoop H, Gillis AJ, et al. Differential expression of SOX17 and SOX2 in germ cells and stem cells has biological and clinical implications. J Pathol. 2008;215(1):21–30.
Dekker I, Rozeboom T, Delemarre J, Dam A, Oosterhuis JW. Placental-like alkaline phosphatase and DNA flow cytometry in spermatocytic seminoma. Cancer. 1992;69(4):993–6.
Delahunt B, Eble JN, King D, Bethwaite PB, Nacey JN, Thornton A. Immunohistochemical evidence for mesothelial origin of paratesticular adenomatoid tumour. Histopathology. 2000;36(2):109–15.
Devouassoux-Shisheboran M, Deschildre C, Mauduit C, et al. Expression of galectin-3 in gonads and gonadal sex cord stromal and germ cell tumors. Oncol Rep. 2006;16(2):335–40.
Emerson RE, Ulbright TM. The use of immunohistochemistry in the differential diagnosis of tumors of the testis and paratestis. Semin Diagn Pathol. 2005;22(1):33–50.
Comperat E, Tissier F, Boye K, De Pinieux G, Vieillefond A. Non-leydig sex-cord tumors of the testis the place of immunohistochemistry in diagnosis and prognosis: a study of twenty cases. Virchows Arch. 2004;444(6):567–71.
Gopalan A, Dhall D, Olgac S, et al. Testicular mixed germ cell tumors: a morphological and immunohistochemical study using stem cell markers, OCT3/4, SOX2 and GDF3, with emphasis on morphologically difficult-to-classify areas. Mod Pathol. 2009;22(8):1066–74.
Hussong J, Crussi FG, Chou PM. Gonadoblastoma: immunohistochemical localization of mullerian-inhibiting substance, inhibin, WT-1, and p53. Mod Pathol. 1997;10(11):1101–5.
Iczkowski KA, Bostwick DG, Roche PC, Cheville JC. Inhibin A is a sensitive and specific marker for testicular sex cord-stromal tumors. Mod Pathol. 1998;11(8):774–9.
Jones TD, Ulbright TM, Eble JN, Cheng L. OCT4: a sensitive and specific biomarker for intratubular germ cell neoplasia of the testis. Clin Cancer Res. 2004;10(24):8544–7.
Kang JL, Rajpert-De Meyts E, Skakkebaek NE. Immunoreactive neuron-specific enolase (NSE) is expressed in testicular carcinoma-in-situ. J Pathol. 1996;178(2):161–5.
Mostofi FK, Sesterhenn IA, Davis Jr CJ. Immunopathology of germ cell tumors of the testis. Semin Diagn Pathol. 1987;4(4):320–41.
Unni SK, Modi DN, Pathak SG, Dhabalia JV, Bhartiya D. Stage-specific localization and expression of c-kit in the adult human testis. J Histochem Cytochem. 2009;57(9):861–9.
Tickoo SK, Hutchinson B, Bacik J, et al. Testicular seminoma: a clinicopathologic and immunohistochemical study of 105 cases with special reference to seminomas with atypical features. Int J Surg Pathol. 2002;10(1):23–32.
Kersemaekers AM, Honecker F, Stoop H, et al. Identification of germ cells at risk for neoplastic transformation in gonadoblastoma: an immunohistochemical study for OCT3/4 and TSPY. Hum Pathol. 2005;36(5):512–21.
Zynger DL, McCallum JC, Luan C, Chou PM, Yang XJ. Glypican 3 has a higher sensitivity than alpha-fetoprotein for testicular and ovarian yolk sac tumour: immunohistochemical investigation with analysis of histological growth patterns. Histopathology. 2010;56(6):750–7.
Bode PK, Barghorn A, Fritzsche FR, et al. MAGEC2 is a sensitive and novel marker for seminoma: a tissue microarray analysis of 325 testicular germ cell tumors. Mod Pathol. 2011;24(6):829–35.
Ezeh UI, Turek PJ, Reijo RA, Clark AT. Human embryonic stem cell genes OCT4, NANOG, STELLAR, and GDF3 are expressed in both seminoma and breast carcinoma. Cancer. 2005;104(10):2255–65.
Schimmer BP, White PC. Minireview: steroidogenic factor 1: its roles in differentiation, development, and disease. Mol Endocrinol. 2010;24(7):1322–37.
Zhao C, Barner R, Vinh TN, McManus K, Dabbs D, Vang R. SF-1 is a diagnostically useful immunohistochemical marker and comparable to other sex cord-stromal tumor markers for the differential diagnosis of ovarian sertoli cell tumor. Int J Gynecol Pathol. 2008;27(4):507–14.
Cao D, Allan RW, Cheng L, et al. RNA-binding protein LIN28 is a marker for testicular germ cell tumors. Hum Pathol. 2011;42(5):710–8.
de Jong J, Stoop H, Dohle GR, et al. Diagnostic value of OCT3/4 for pre-invasive and invasive testicular germ cell tumours. J Pathol. 2005;206(2):242–9.
Feitz WF, Debruyne FM, Ramaekers FC. Intermediate filament proteins as tissue specific markers in normal and neoplastic testicular tissue. Int J Androl. 1987;10(1):51–6.
Donner J, Kliesch S, Brehm R, Bergmann M. From carcinoma in situ to testicular germ cell tumour. APMIS. 2004;112(2):79–88.
Gordon MD, Corless C, Renshaw AA, Beckstead J. CD99, keratin, and vimentin staining of sex cord-stromal tumors, normal ovary, and testis. Mod Pathol. 1998;11(8):769–73.
Groisman GM, Dische MR, Fine EM, Unger PD. Juvenile granulosa cell tumor of the testis: a comparative immunohistochemical study with normal infantile gonads. Pediatr Pathol. 1993;13(4):389–400.
Honecker F, Kersemaekers AM, Molier M, et al. Involvement of E-cadherin and beta-catenin in germ cell tumours and in normal male fetal germ cell development. J Pathol. 2004;204(2):167–74.
Luetjens CM, Didolkar A, Kliesch S, et al. Tissue expression of the nuclear progesterone receptor in male non-human primates and men. J Endocrinol. 2006;189(3):529–39.
McCluggage WG, Shanks JH, Whiteside C, Maxwell P, Banerjee SS, Biggart JD. Immunohistochemical study of testicular sex cord-stromal tumors, including staining with anti-inhibin antibody. Am J Surg Pathol. 1998;22(5):615–9.
McLaren K, Thomson D. Localization of S-100 protein in a leydig and sertoli cell tumour of testis. Histopathology. 1989;15(6):649–52.
Nielsen K, Jacobsen GK. Malignant sertoli cell tumour of the testis an immunohistochemical study and a review of the literature. APMIS. 1988;96(8):755–60.
Pelletier G, El-Alfy M. Immunocytochemical localization of estrogen receptors alpha and beta in the human reproductive organs. J Clin Endocrinol Metab. 2000;85(12):4835–40.
Pais V, Leav I, Lau KM, Jiang Z, Ho SM. Estrogen receptor-beta expression in human testicular germ cell tumors. Clin Cancer Res. 2003;9(12):4475–82.
Ramaekers F, Feitz W, Moesker O, et al. Antibodies to cytokeratin and vimentin in testicular tumour diagnosis. Virchows Arch A Pathol Anat Histopathol. 1985;408(2–3):127–42.
Renshaw AA, Gordon M, Corless CL. Immunohistochemistry of unclassified sex cord-stromal tumors of the testis with a predominance of spindle cells. Mod Pathol. 1997;10(7):693–700.
Bar-Shira Maymon B, Yavetz H, Schreiber L, Paz G. Immunohistochemistry in the evaluation of spermatogenesis and sertoli cell’s maturation status. Clin Chem Lab Med. 2002;40(3):217–20.
Romeo R, Marcello MF. Some considerations on the human leydig cell (immunohistochemical observations). Arch Ital Urol Androl. 1999;71(3):143–8.
Sasano H, Nakashima N, Matsuzaki O, et al. Testicular sex cord-stromal lesions: immunohistochemical analysis of cytokeratin, vimentin and steroidogenic enzymes. Virchows Arch A Pathol Anat Histopathol. 1992;421(2):163–9.
Sato K, Ueda Y, Sakurai A, et al. Large cell calcifying sertoli cell tumor of the testis: comparative immunohistochemical study with leydig cell tumor. Pathol Int. 2005;55(6):366–71.
Kommoss F, Oliva E, Bittinger F, et al. Inhibin-alpha CD99, HEA125, PLAP, and chromogranin immunoreactivity in testicular neoplasms and the androgen insensitivity syndrome. Hum Pathol. 2000;31(9):1055–61.
Cao QJ, Jones JG, Li M. Expression of calretinin in human ovary, testis, and ovarian sex cord-stromal tumors. Int J Gynecol Pathol. 2001;20(4):346–52.
Carpino A, Rago V, Pezzi V, Carani C, Ando S. Detection of aromatase and estrogen receptors (ERalpha, ERbeta1, ERbeta2) in human leydig cell tumor. Eur J Endocrinol. 2007;157(2):239–44.
Hadziselimovic F, Herzog B, Emmons LR. The incidence of seminoma and expression of cell adhesion molecule CD44 in cryptorchid boys and infertile men. J Urol. 1997;157(5):1895–7.
Hoei-Hansen CE, Almstrup K, Nielsen JE, et al. Stem cell pluripotency factor NANOG is expressed in human fetal gonocytes, testicular carcinoma in situ and germ cell tumours. Histopathology. 2005;47(1):48–56.
Rajpert-De Meyts E. Developmental model for the pathogenesis of testicular carcinoma in situ: genetic and environmental aspects. Hum Reprod Update. 2006;12(3):303–23.
Hart AH, Hartley L, Parker K, et al. The pluripotency homeobox gene NANOG is expressed in human germ cell tumors. Cancer. 2005;104(10):2092–8.
Tong GX, Memeo L, Colarossi C, et al. PAX8 and PAX2 immunostaining facilitates the diagnosis of primary epithelial neoplasms of the male genital tract. Am J Surg Pathol. 2011;35(10):1473–83.
Salonen J, Rajpert-De Meyts E, Mannisto S, et al. Differential developmental expression of transcription factors GATA-4 and GATA-6, their cofactor FOG-2 and downstream target genes in testicular carcinoma in situ and germ cell tumors. Eur J Endocrinol. 2010;162(3):625–31.
Cheng L, Sung MT, Cossu-Rocca P, et al. OCT4: biological functions and clinical applications as a marker of germ cell neoplasia. J Pathol. 2007;211(1):1–9.
Ota S, Hishinuma M, Yamauchi N, et al. Oncofetal protein glypican-3 in testicular germ-cell tumor. Virchows Arch. 2006;449(3):308–14.
Ota Y, Iihara K, Ryu T, Morikawa T, Fukayama M. Metastatic seminomas in lymph nodes: CD10 immunoreactivity can be a pitfall of differential diagnosis. Int J Clin Exp Pathol. 2013;6(3):498–502.
Wilkerson M, Lin F, Shi J. SF-1 immunohistochemical expressio in tumors. Mod Pathol. 2013;26(S2):230A.
Wilkerson M, Lin F, Shi J. NANOG immunohistochemical expression in tumors. Mod Pathol. 2012;25(S2):251A.
Al-Agha OM, Axiotis CA. An in-depth look at leydig cell tumor of the testis. Arch Pathol Lab Med. 2007;131(2):311–7.
Albores-Saavedra J, Huffman H, Alvarado-Cabrero I, Ayala AG. Anaplastic variant of spermatocytic seminoma. Hum Pathol. 1996;27(7):650–5.
Caillaud JM, Bellet D, Carlu C, Droz JP. Immunohistochemistry of germ cell tumors of the testis study of beta HCG and AFP. Prog Clin Biol Res. 1985;203:139–40.
Burke AP, Mostofi FK. Placental alkaline phosphatase immunohistochemistry of intratubular malignant germ cells and associated testicular germ cell tumors. Hum Pathol. 1988;19(6):663–70.
Bartkova J, Bartek J, Lukas J, et al. p53 protein alterations in human testicular cancer including pre-invasive intratubular germ-cell neoplasia. Int J Cancer. 1991;49(2):196–202.
Burke AP, Mostofi FK. Intratubular malignant germ cells in testicular biopsies: clinical course and identification by staining for placental alkaline phosphatase. Mod Pathol. 1988;1(6):475–9.
Bailey D, Marks A, Stratis M, Baumal R. Immunohistochemical staining of germ cell tumors and intratubular malignant germ cells of the testis using antibody to placental alkaline phosphatase and a monoclonal anti-seminoma antibody. Mod Pathol. 1991;4(2):167–71.
Emerson RE, Ulbright TM. Morphological approach to tumours of the testis and paratestis. J Clin Pathol. 2007;60(8):866–80.
Bosman FT, Giard RW, Nieuwenhuijen Kruseman AC, Knijnenburg G, Spaander PJ. Human chorionic gonadotrophin and alpha-fetoprotein in testicular germ cell tumours: a retrospective immunohistochemical study. Histopathology. 1980;4(6):673–84.
Bomeisl PE, MacLennan GT. Spermatocytic seminoma. J Urol. 2007;177(2):734.
Battifora H, Sheibani K, Tubbs RR, Kopinski MI, Sun TT. Antikeratin antibodies in tumor diagnosis distinction between seminoma and embryonal carcinoma. Cancer. 1984;54(5):843–8.
Bartkova J, Rejthar A, Bartek J, Kovarik J. Differentiation patterns of testicular germ-cell tumours as revealed by a panel of monoclonal antibodies. Tumour Biol. 1987;8(1):45–56.
Wittekind C, Wichmann T, Von Kleist S. Immunohistological localization of AFP and HCG in uniformly classified testis tumors. Anticancer Res. 1983;3(5):327–30.
Wick MR, Swanson PE, Manivel JC. Placental-like alkaline phosphatase reactivity in human tumors: an immunohistochemical study of 520 cases. Hum Pathol. 1987;18(9):946–54.
Rajpert-De Meyts E, Kvist M, Skakkebaek NE. Heterogeneity of expression of immunohistochemical tumour markers in testicular carcinoma in situ: pathogenetic relevance. Virchows Arch. 1996;428(3):133–9.
Pallesen G, Hamilton-Dutoit SJ. Ki-1 (CD30) antigen is regularly expressed by tumor cells of embryonal carcinoma. Am J Pathol. 1988;133(3):446–50.
Niehans GA, Manivel JC, Copland GT, Scheithauer BW, Wick MR. Immunohistochemistry of germ cell and trophoblastic neoplasms. Cancer. 1988;62(6):1113–23.
Mostofi FK, Sesterhenn IA, Davis Jr CJ. Developments in histopathology of testicular germ cell tumors. Semin Urol. 1988;6(3):171–88.
Miller JS, Lee TK, Epstein JI, Ulbright TM. The utility of microscopic findings and immunohistochemistry in the classification of necrotic testicular tumors: a study of 11 cases. Am J Surg Pathol. 2009;33(9):1293–8.
Miettinen M, Virtanen I, Talerman A. Intermediate filament proteins in human testis and testicular germ-cell tumors. Am J Pathol. 1985;120(3):402–10.
Manivel JC, Jessurun J, Wick MR, Dehner LP. Placental alkaline phosphatase immunoreactivity in testicular germ-cell neoplasms. Am J Surg Pathol. 1987;11(1):21–9.
Manivel JC, Simonton S, Wold LE, Dehner LP. Absence of intratubular germ cell neoplasia in testicular yolk sac tumors in children. A histochemical and immunohistochemical study. Arch Pathol Lab Med. 1988;112(6):641–5.
Manivel JC, Niehans G, Wick MR, Dehner LP. Intermediate trophoblast in germ cell neoplasms. Am J Surg Pathol. 1987;11(9):693–701.
Lind HM, Haghighi P. Carcinoembryonic antigen staining in choriocarcinoma. Am J Clin Pathol. 1986;86(4):538–40.
Eglen DE, Ulbright TM. The differential diagnosis of yolk sac tumor and seminoma. usefulness of cytokeratin, alpha-fetoprotein, and alpha-1-antitrypsin immunoperoxidase reactions. Am J Clin Pathol. 1987;88(3):328–32.
Fogel M, Lifschitz-Mercer B, Moll R, et al. Heterogeneity of intermediate filament expression in human testicular seminomas. Differentiation. 1990;45(3):242–9.
Lifschitz-Mercer B, Fogel M, Moll R, et al. Intermediate filament protein profiles of human testicular non-seminomatous germ cell tumors: correlation of cytokeratin synthesis to cell differentiation. Differentiation. 1991;48(3):191–8.
Leroy X, Augusto D, Leteurtre E, Gosselin B. CD30 and CD117 (c-kit) used in combination are useful for distinguishing embryonal carcinoma from seminoma. J Histochem Cytochem. 2002;50(2):283–5.
Kraggerud SM, Berner A, Bryne M, Pettersen EO, Fossa SD. Spermatocytic seminoma as compared to classical seminoma: an immunohistochemical and DNA flow cytometric study. APMIS. 1999;107(3):297–302.
Koshida K, Wahren B. Placental-like alkaline phosphatase in seminoma. Urol Res. 1990;18(2):87–92.
Jorgensen N, Muller J, Jaubert F, Clausen OP, Skakkebaek NE. Heterogeneity of gonadoblastoma germ cells: similarities with immature germ cells, spermatogonia and testicular carcinoma in situ cells. Histopathology. 1997;30(2):177–86.
Cummings OW, Ulbright TM, Eble JN, Roth LM. Spermatocytic seminoma: an immunohistochemical study. Hum Pathol. 1994;25(1):54–9.
Ferreiro JA. Ber-H2 expression in testicular germ cell tumors. Hum Pathol. 1994;25(5):522–4.
Jimenez-Quintero LP, Ro JY, Zavala-Pompa A, et al. Granulosa cell tumor of the adult testis: a clinicopathologic study of seven cases and a review of the literature. Hum Pathol. 1993;24(10):1120–5.
Jacobsen GK, Jacobsen M, Clausen PP. Distribution of tumor-associated antigens in the various histologic components of germ cell tumors of the testis. Am J Surg Pathol. 1981;5(3):257–66.
Jacobsen GK, Norgaard-Pedersen B. Placental alkaline phosphatase in testicular germ cell tumours and in carcinoma-in-situ of the testis. an immunohistochemical study. Acta Pathol Microbiol Immunol Scand A. 1984;92(5):323–9.
Hustin J, Collette J, Franchimont P. Immunohistochemical demonstration of placental alkaline phosphatase in various states of testicular development and in germ cell tumours. Int J Androl. 1987;10(1):29–35.
Hittmair A, Rogatsch H, Hobisch A, Mikuz G, Feichtinger H. CD30 expression in seminoma. Hum Pathol. 1996;27(11):1166–71.
Kalhor N, Ramirez PT, Deavers MT, Malpica A, Silva EG. Immunohistochemical studies of trophoblastic tumors. Am J Surg Pathol. 2009;33(4):633–8.
Visfeldt J, Jorgensen N, Muller J, Moller H, Skakkebaek NE. Testicular germ cell tumours of childhood in denmark, 1943-1989: incidence and evaluation of histology using immunohistochemical techniques. J Pathol. 1994;174(1):39–47.
Looijenga LH, Stoop H, de Leeuw HP, et al. POU5F1 (OCT3/4) identifies cells with pluripotent potential in human germ cell tumors. Cancer Res. 2003;63(9):2244–50.
Lau SK, Weiss LM, Chu PG. D2-40 immunohistochemistry in the differential diagnosis of seminoma and embryonal carcinoma: a comparative immunohistochemical study with KIT (CD117) and CD30. Mod Pathol. 2007;20(3):320–5.
Lee MJ, Vogt AP, Hsiao W, Osunkoya AO. CDX-2 expression in malignant germ cell tumors of the testes, intratubular germ cell neoplasia, and normal seminiferous tubules. Tumour Biol. 2012;33(6):2185–8.
Nonaka D. Differential expression of SOX2 and SOX17 in testicular germ cell tumors. Am J Clin Pathol. 2009;131(5):731–6.
Zavala-Pompa A, Ro JY, el-Naggar A, et al. Primary carcinoid tumor of testis. immunohistochemical, ultrastructural, and DNA flow cytometric study of three cases with a review of the literature. Cancer. 1993;72(5):1726–32.
Zynger DL, Dimov ND, Luan C, Teh BT, Yang XJ. Glypican 3: a novel marker in testicular germ cell tumors. Am J Surg Pathol. 2006;30(12):1570–5.
Gupta DK, Kataria R, Sharma MC. Prepubertal testicular teratomas. Eur J Pediatr Surg. 1999;9(3):173–6.
Miettinen M, McCue PA, Sarlomo-Rikala M, et al. GATA3: a multispecific but potentially useful marker in surgical pathology: a systematic analysis of 2500 epithelial and nonepithelial tumors. Am J Surg Pathol. 2014;38(1):13–22.
Mirkovic J, Barletta J, Quade BJ, Hirsch MS. Gestational trophoblastic tumors are characterized by GATA3 expression. Mod Pathol. 2014;27(S2):297A.
Compton LA, Buchanan M, Hirsch MS. GATA3 is a sensitive and relatively specific biomarker for testicular choriocarcioma. Mod Pathol. 2014;27(S2):222A.
Roma A, Varsegi M, Magi-Galluzzi C, Ulbright T, Zhou M. The distinction of bronchogenic cyst from metastatic testicular teratoma: a light microscopic and immunohistochemical study. Am J Clin Pathol. 2008;130(2):265–73.
Al-Bozom IA, El-Faqih SR, Hassan SH, El-Tiraifi AE, Talic RF. Granulosa cell tumor of the adult type: a case report and review of the literature of a very rare testicular tumor. Arch Pathol Lab Med. 2000;124(10):1525–8.
Ventura T, Discepoli S, Coletti G, et al. Light microscopic, immunocytochemical and ultrastructural study of a case of sertoli cell tumor of the testis. Tumori. 1987;73(6):649–53.
Perez-Atayde AR, Joste N, Mulhern H. Juvenile granulosa cell tumor of the infantile testis evidence of a dual epithelial-smooth muscle differentiation. Am J Surg Pathol. 1996;20(1):72–9.
Nistal M, Lazaro R, Garcia J, Paniagua R. Testicular granulosa cell tumor of the adult type. Arch Pathol Lab Med. 1992;116(3):284–7.
Morgan DR, Brame KG. Granulosa cell tumour of the testis displaying immunoreactivity for inhibin. BJU Int. 1999;83(6):731–2.
Matias-Guiu X, Pons C, Prat J. Mullerian inhibiting substance, alpha-inhibin, and CD99 expression in sex cord-stromal tumors and endometrioid ovarian carcinomas resembling sex cord-stromal tumors. Hum Pathol. 1998;29(8):840–5.
Kratzer SS, Ulbright TM, Talerman A, et al. Large cell calcifying sertoli cell tumor of the testis: contrasting features of six malignant and six benign tumors and a review of the literature. Am J Surg Pathol. 1997;21(11):1271–80.
Henley JD, Young RH, Ulbright TM. Malignant sertoli cell tumors of the testis: a study of 13 examples of a neoplasm frequently misinterpreted as seminoma. Am J Surg Pathol. 2002;26(5):541–50.
Harms D, Kock LR. Testicular juvenile granulosa cell and sertoli cell tumours: a clinicopathological study of 29 cases from the kiel paediatric tumour registry. Virchows Arch. 1997;430(4):301–9.
Plata C, Algaba F, Andujar M, et al. Large cell calcifying sertoli cell tumour of the testis. Histopathology. 1995;26(3):255–9.
Hammerich KH, Hille S, Ayala GE, et al. Malignant advanced granulosa cell tumor of the adult testis: case report and review of the literature. Hum Pathol. 2008;39(5):701–9.
Petersson F, Bulimbasic S, Sima R, et al. Large cell calcifying sertoli cell tumor: a clinicopathologic study of 1 malignant and 3 benign tumors using histomorphology, immunohistochemistry, ultrastructure, comparative genomic hybridization, and polymerase chain reaction analysis of the PRKAR1A gene. Hum Pathol. 2010;41(4):552–9.
Roth LM, Eglen DE. Gonadoblastoma immunohistochemical and ultrastructural observations. Int J Gynecol Pathol. 1989;8(1):72–81.
Rey R, Sabourin JC, Venara M, et al. Anti-mullerian hormone is a specific marker of sertoli- and granulosa-cell origin in gonadal tumors. Hum Pathol. 2000;31(10):1202–8.
Cools M, Stoop H, Kersemaekers AM, et al. Gonadoblastoma arising in undifferentiated gonadal tissue within dysgenetic gonads. J Clin Endocrinol Metab. 2006;91(6):2404–13.
Cheng L, Thomas A, Roth LM, Zheng W, Michael H, Karim FW. OCT4: a novel biomarker for dysgerminoma of the ovary. Am J Surg Pathol. 2004;28(10):1341–6.
Hori K, Uematsu K, Yasoshima H, Yamada A, Sakurai K, Ohya M. Testicular seminoma with human chorionic gonadotropin production. Pathol Int. 1997;47(9):592–9.
Hechelhammer L, Storkel S, Odermatt B, Heitz PU, Jochum W. Epidermal growth factor receptor is a marker for syncytiotrophoblastic cells in testicular germ cell tumors. Virchows Arch. 2003;443(1):28–31.
McCluggage WG, Ashe P, McBride H, Maxwell P, Sloan JM. Localization of the cellular expression of inhibin in trophoblastic tissue. Histopathology. 1998;32(3):252–6.
Lee Y, Kim KR, McKeon F, et al. A unifying concept of trophoblastic differentiation and malignancy defined by biomarker expression. Hum Pathol. 2007;38(7):1003–13.
Thiel R, Effert P. Primary adenocarcinoma of the seminal vesicles. J Urol. 2002;168(5):1891–6.
Ormsby AH, Haskell R, Jones D, Goldblum JR. Primary seminal vesicle carcinoma: an immunohistochemical analysis of four cases. Mod Pathol. 2000;13(1):46–51.
Ohmori T, Okada K, Tabei R, et al. CA125-producing adenocarcinoma of the seminal vesicle. Pathol Int. 1994;44(4):333–7.
Kim JY, Lee YT, Kang HJ, Lee CH. Primary mucinous cystadenoma of the spermatic cord within the inguinal canal. Diagn Pathol. 2012;7:139.
McCluggage WG, Shah V, Nott C, Clements B, Wilson B, Hill CM. Cystadenoma of spermatic cord resembling ovarian serous epithelial tumour of low malignant potential: immunohistochemical study suggesting mullerian differentiation. Histopathology. 1996;28(1):77–80.
Kacar A, Senel E, Caliskan D, Demirel F, Tiryaki T. Sertoliform cystadenoma: a case with overlapping features. Pediatr Dev Pathol. 2011;14(2):138–43.
Ballotta MR, Borghi L, Barucchello G. Adenocarcinoma of the rete testis report of two cases. Adv Clin Pathol. 2000;4(4):169–73.
Detassis C, Pusiol T, Piscioli F, Luciani L. Adenomatoid tumor of the epididymis: immunohistochemical study of 8 cases. Urol Int. 1986;41(3):232–4.
Crisp-Lindgren N, Travers H, Wells MM, Cawley LP. Papillary adenocarcinoma of rete testis. Autopsy findings, histochemistry, immunohistochemistry, ultrastructure, and clinical correlations. Am J Surg Pathol. 1988;12(6):492–501.
Jones MA, Young RH, Srigley JR, Scully RE. Paratesticular serous papillary carcinoma. A report of six cases. Am J Surg Pathol. 1995;19(12):1359–65.
Kamiya M, Eimoto T. Malignant mesothelioma of the tunica vaginalis. Pathol Res Pract. 1990;186(5):680–4.
Menon PK, Vasudevarao, Sabhiki A, Kudesia S, Joshi DP, Mathur UB. A case of carcinoma rete testis: histomorphological, immunohistochemical and ultrastructural findings and review of literature. Indian J Cancer. 2002;39(3):106–11
Perez-Ordonez B, Srigley JR. Mesothelial lesions of the paratesticular region. Semin Diagn Pathol. 2000;17(4):294–306.
Winstanley AM, Landon G, Berney D, Minhas S, Fisher C, Parkinson MC. The immunohistochemical profile of malignant mesotheliomas of the tunica vaginalis: a study of 20 cases. Am J Surg Pathol. 2006;30(1):1–6.
Chu AY, Litzky LA, Pasha TL, Acs G, Zhang PJ. Utility of D2-40, a novel mesothelial marker, in the diagnosis of malignant mesothelioma. Mod Pathol. 2005;18(1):105–10.
Wachter DL, Wunsch PH, Hartmann A, Agaimy A. Adenomatoid tumors of the female and male genital tract. A comparative clinicopathologic and immunohistochemical analysis of 47 cases emphasizing their site-specific morphologic diversity. Virchows Arch. 2011;458(5):593–602.
Al-Salam S, Hammad FT, Salman MA, AlAshari M. Expression of wilms tumor-1 protein and CD 138 in malignant mesothelioma of the tunica vaginalis. Pathol Res Pract. 2009;205(11):797–800.
Jones MA, Young RH, Scully RE. Malignant mesothelioma of the tunica vaginalis. A clinicopathologic analysis of 11 cases with review of the literature. Am J Surg Pathol. 1995;19(7):815–25.
Kurihara K, Oka A, Mannami M, Iwata Y. Papillary adenocarcinoma of the epididymis. Acta Pathol Jpn. 1993;43(7–8):440–3.
Sanchez-Chapado M, Angulo JC, Haas GP. Adenocarcinoma of the rete testis. Urology. 1995;46(4):468–75.
Ganem JP, Jhaveri FM, Marroum MC. Primary adenocarcinoma of the epididymis: case report and review of the literature. Urology. 1998;52(5):904–8.
Anchala PR, Dhir R, Parwani AV, Zynger DL. Immunohistochemical profile of paratesticular serous papillary adenocarcinoma and tunica vaginalis facilitates distinction from malignant mesothelioma. Int J Surg Pathol. 2011;19(5):692–8.
Bremmer F, Schweyer S, Behnes CL, Blech M, Radzun HJ. Sertoliform cystadenoma: a rare benign tumour of the rete testis. Diagn Pathol. 2013;8:23.
Nistal M, Revestido R, Paniagua R. Bilateral mucinous cystadenocarcinoma of the testis and epididymis. Arch Pathol Lab Med. 1992;116(12):1360–3.
Michal M, Kazakov DV, Kacerovska D, et al. Paratesticular cystadenomas with ovarian stroma, metaplastic serous mullerian epithelium, and male adnexal tumor of probable wolffian origin: a series of 5 hitherto poorly recognized testicular tumors. Ann Diagn Pathol. 2013;17(2):151–8.
Ellis CL, Chang AG, Cimino-Mathews A, et al. GATA-3 immunohistochemistry in the differential diagnosis of adenocarcinoma of the urinary bladder. Am J Surg Pathol. 2013;37(11):1756–60.
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Wilkerson, M.L., Cheng, L. (2015). Testis and Paratesticular Tissues. In: Lin, F., Prichard, J. (eds) Handbook of Practical Immunohistochemistry. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1578-1_24
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