Skip to main content

Seminoma with syncytiotrophoblastic giant cells

A special form of seminoma

Summary

Testicular seminomas may occur in various forms, of which the classical and spermatocytic are distinct, the anaplastic or atypical seminomas, however, less clearly defined. Lately, a separate group of particular clinical significance, comprising seminomas with syncytiotrophoblastic giant cells (STGC), has been specified. Although this type of seminoma had been recognized morphologically long ago, recent investigations have shown its ability to secrete HCG, a fact that raises serious difficulties in its differential diagnosis with combined seminomas and choriocarcinomas. Two cases of seminomas with STGC are presented and pertinent clinical and morphologic problems discussed.

This is a preview of subscription content, access via your institution.

References

  • Albertini, A., von: Histologische Geschwulstdiagnostik. 2. Aufl. Stuttgart: Georg Thieme 1974

    Google Scholar 

  • Albertini, A., von, Schnyder, U.W.: Bemerkungen zur Frage der embryonalen Hodenteratome. Schweiz. Z. allg. Path. 14, 457–463 (1951)

    Google Scholar 

  • Chevassu, M.: Tumeurs du testicule. Thèse, Faculté de Médecine de Paris. Paris: G. Steinheil 1906

    Google Scholar 

  • Currie, A.R., Beck, J.S., Ellis, S.T., Read, C.H.: Immunofluorescent localisation of a growth hormone-like factor in normal and abnormal syncytiotrophoblast. J. Path. Bact. 92, 395–399 (1966)

    Google Scholar 

  • Dixon, F.J., Moore, R.A.: Tumors of the male sex organs. In: Atlas of Tumor Pathology, Section VIII, Fascicles 31 b and 32. Washington, D.C.: Armed Forces Institute of Pathology 1952

    Google Scholar 

  • Friedman, M., Pearlman, A.W.: Seminoma with trophocarcinoma. A clinical variant of seminoma. Cancer (Philad.) 26, 46–64 (1970)

    Google Scholar 

  • Heyderman, E., Neville, A.M.: Syncytiotrophoblasts in malignant testicular tumors. Lancet II/1976, 103

    Google Scholar 

  • Hobson, B.M.: The excretion of chorionic gonadotrophin by men with testicular tumours. Acta Endocr. (Kbh.) 49, 337–348 (1965)

    Google Scholar 

  • Hochstetter, A.R., von: Mitotic count in seminomas. An unreliable criterion of distinction between classical and anaplastic types. (In press)

  • Javadpour, N., McIntire, K.R., Waldmann, T.A.: Human chorionic gonadotropin (HCG) and alpha-fetoprotein (AFP) in sera and tumor cells of patients with testicular seminoma. A prospective study. Cancer (Philad.) 42, 2768–2772 (1978)

    Google Scholar 

  • Javadpour, N., McIntire, K.R., Waldmann, T.A.: Immunochemical determination of human chorionic gonadotropin (HCG) and alpha-fetoprotein (AFP) in sera and tumors of patients with testicular cancer. Natl. Cancer Inst. Monogr. 49, 209–213 (1978)

    Google Scholar 

  • Kurman, R.J., Scardino, P.T., McIntire, K.R., Waldmann, T.A., Javadpour, N.: Cellular localization of alpha-fetoprotein and human chorionic gonadotropin in germ cell tumors of the testes using an indirect immunoperoxidase technique. A new approach to classification utilizing tumor markers. Cancer (Philad.) 40, 2136–2151 (1977)

    Google Scholar 

  • Masson, P.: Étude sur le séminome. Rev.Canad.Biol. 5, 361–387 (1946)

    Google Scholar 

  • Mostofi, F.K., Price, E.B.jr.: Tumors of the male genital system. In: Atlas of Tumor Pathology, Second Series, Fascicle 8. Washington, D.C.: Armed Forces Institute of Pathology 1973

    Google Scholar 

  • Pierce, G.B.Jr., Midgley, A.R.Jr.: The origin and function of human syncytiotrophoblastic giant cells. Am.J.Path. 43, 153–173 (1963)

    Google Scholar 

  • Porteous, I.B., Beck, J.S., Pugh, R.C.B.: Localisation of human placental factor in malignant teratoma of testis. J.Path.Bact. 95, 527–535 (1968)

    Google Scholar 

  • Schnyder, U.W.: Beiträge zur Lehre der chorialen Carcinome des Hodens. Schweiz. Z. allg. Path. 14, 298–322 (1951)

    Google Scholar 

  • Schnyder, U.W.: Zur Frage der Seminome und Pseudoseminome des Hodens. Schweiz. Z. allg. Path. 15, 331–353 (1952)

    Google Scholar 

  • Thackray, A.C., Crane, W.A.J.: Seminoma. S. 164–198 in: Pugh, R.C.B.: Pathology of the testis. Oxford-London-Edinburgh-Melbourne: Blackwell Scientific Publications 1976

    Google Scholar 

  • Wurster, K.: Klassifizierung testikulärer Keimzellgeschwülste. Neue Gesichtspunkte auf Grund morphogenetischer Studien. Normale und pathologische Anatomie Heft 31. Stuttgart: Georg Thieme 1976

    Google Scholar 

Download references

Author information

Affiliations

Authors

Additional information

Dedicated to Professor E. Uehlinger on the occasion of his 80th birthday

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Hedinger, C., von Hochstetter, A.R. & Egloff, B. Seminoma with syncytiotrophoblastic giant cells. Virchows Arch. A Path. Anat. and Histol. 383, 59–67 (1979). https://doi.org/10.1007/BF00427010

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00427010

Key words

  • Seminoma
  • Syncytiotrophoblastic giant cells
  • Human chorionic gonadotropin (HCG)