Cases reported "Teratocarcinoma"

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1/2. Sinonasal teratocarcinosarcoma: ultrastructural and immunohistochemical evidence of neuroectodermal origin.

    The authors report a case of sinonasal teratocarcinosarcoma in a 37-year-old man, which was located in the anterior skull base and extended to the right nasal cavity and paranasal sinuses. The tumor was surgically resected twice, but it could not be removed completely. Microscopically, it was mainly composed of primitive cell nests within a moderately cellular stroma. The components of squamous cell epithelia with focal teratoid appearance and adenocarcinomatous differentiation were observed. There were many rhabdomyoblasts scattered in the nests and stroma. Ultrastructurally, the primitive cells had many neural processes with parallel microtubules, resembling olfactory neuroblastoma. Rhabdomyoblasts showed various degrees of skeletal muscle differentiation. Some of the stromal spindle cells had actin filaments with dense patches and dense core granules. Immunohistochemically, the primitive cells were positive for epithelial markers, neuron-specific enolase, synaptophysin, and myogenic regulatory proteins. The rhabdomyoblasts showed immunoreactivity for myoid markers, cytokeratin, epithelial membrane antigen, and synaptophysin. Most of the stromal spindle cells were positive for smooth muscle actin, neuron-specific enolase and synaptophysin. The immunohistochemical and ultrastructural findings suggest that primitive cells had the most primitive phenotype of placodes, and support the possibility that sinonasal teratocarcinosarcoma is essentially a neuroectodermal tumor with divergent differentiation.
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ranking = 1
keywords = tubule
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2/2. carcinoma-in situ of the human testis: tumour cells are distributed focally in the seminiferous tubules.

    The distribution of carcinoma-in-situ was investigated in the longitudinal course of human seminiferous tubules. Serial sections of tubular segments, measuring 9330 microns and 1600 microns in length respectively, were analysed. The tubules exhibited a local accumulation of tumour cells. Areas with abundant tumour cells followed areas that were free of tumour cells. The original coiled configuration of the seminiferous tubules was reconstructed with the help of a three-dimensional crepe rubber model. The model showed that tumour-bearing tubular segments lay close together, even if they were actually situated far distant from each other in the longitudinal course of the tubule. Consequently, distant tubular segments can be attached to a common area of the interstitial tissue. This corresponds to the observation that histological sections frequently show clustered CIS-tubules surrounded by tubules exhibiting spermatogenesis. It is a subject for debate whether the interstitial tissue connects tubular segments to functional testicular units.
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ranking = 10
keywords = tubule
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