Zusammenfassung
Die große Vielfalt der histologischen Muster von Keimzelltumoren, insbesondere beim Dottersacktumor, aber auch das Phänomen der somatischen Malignität können die tägliche Diagnostik komplizieren. Verschiedene morphologische Aspekte und immunhistochemische Zusatzuntersuchungen können bei der Diagnosefindung hilfreich sein. Auch das Spektrum seltener Entitäten wie Gonadenstromatumoren, testikuläre Adnextumoren und Weichgewebstumoren des Samenstrangs können zu einer diagnostischen Herausforderung werden.
Abstract
The great variety of pathological patterns in germ cell tumours, especially in yolk sac tumours but also the possibility of somatic-type malignancies, can complicate daily diagnosis. For the correct diagnosis, knowledge of morphological aspects and additional immunohistochemical staining can be helpful. Also, rare entities like sex cord stromal tumours, tumours of testicular adnexa or mesenchymal tumours of the spermatic cord can be diagnostically challenging.
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Danksagung
Wir danken Frau O. Dschun für Ihre technische Hilfe.
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F. Bremmer wird durch die Wilhelm Sander-Stiftung unterstützt (2016.041.1, 2016.041.2, 2016.041.3).
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F. Bremmer, A. Fichtner, A. Richter und S. Schweyer geben an, dass kein Interessenkonflikt besteht.
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F. Bremmer, Göttingen
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Bremmer, F., Fichtner, A., Richter, A. et al. Diagnostische Probleme bei Hodentumoren in der Konsiliarpathologie. Pathologie 43, 425–433 (2022). https://doi.org/10.1007/s00292-022-01103-2
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DOI: https://doi.org/10.1007/s00292-022-01103-2
Schlüsselwörter
- Keimzelltumor
- Somatische Malignität
- Gonadenstromatumoren
- Tumoren der testikulären Adnexe
- Immunhistochemischer Algorithmus