Sertoli cell tumour

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Sertoli cell tumour
Sertoli cell tumour high mag.jpg
Micrograph of a Sertoli cell tumour. H&E stain.
Classification and external resources
Specialty oncology
ICD-9-CM 183.0, 256.1
ICD-O 8631
MeSH D012707

A Sertoli cell tumour, also Sertoli cell tumor (US spelling), is a sex cord-gonadal stromal tumor of a Sertoli cells. They are very rare and generally peak between the ages of 35 and 50. They are typically well-differentiated, and are commonly misdiagnosed as seminomas as they often appear very similar.[1]

A tumor that produces both Sertoli cells and Leydig cells is known as a Sertoli-Leydig cell tumor.

Presentation[edit]

Sertoli cell tumours typically present as a testicular mass or firmness, and their presence may be accompanied by gynaecomastia (25%) if they produce oestrogens, or precocious pseudopuberty in young boys, especially if they produce androgens.[2]

Diagnosis[edit]

Low magnification micrograph of a Sertoli cell tumour. H&E stain.

On ultrasound, a sertoli cell tumour appears as a hypoechoic intratesticular lesion which is usually solitary. However, the large cell subtype might present as multiple and bilateral masses with large areas of calcification. An MRI may also be conducted, but this typically is undefinitive.[2]

Microscopy and immunohistochemistry are the only way to give a definitive diagnosis, especially when there is a suspected seminoma.[3]

Treatment[edit]

Due to the difficulty in identifying the tumour using imaging techniques, an orchiectomy is often performed. The majority of sertoli cell tumours are benign, so this is sufficient. There is no documented benefit of chemotherapy or radiotherapy.[4]

In non-humans[edit]

Sertoli cell tumors are known to occur in other species, including domestic ducks,[5] dogs,[6][7] and horses.

Additional images[edit]

See also[edit]

Notes[edit]

  1. ^ Young, Robert H. (2005-01-01). "Sex cord-stromal tumors of the ovary and testis: their similarities and differences with consideration of selected problems". Modern Pathology. 18 (S2): S81–S98. ISSN 0893-3952. doi:10.1038/modpathol.3800311. 
  2. ^ a b Morgan, Matt A. "Sertoli cell tumour of the testis | Radiology Reference Article | Radiopaedia.org". radiopaedia.org. Retrieved 2016-12-06. 
  3. ^ Henley, John D.; Young, Robert H.; Ulbright, Thomas M. (2002-05-01). "Malignant Sertoli cell tumors of the testis: a study of 13 examples of a neoplasm frequently misinterpreted as seminoma". The American Journal of Surgical Pathology. 26 (5): 541–550. ISSN 0147-5185. PMID 11979085. 
  4. ^ "Testis and epididymis - Sertoli cell tumor, NOS". www.pathologyoutlines.com. Retrieved 2016-12-06. 
  5. ^ Leach S, Heatley JJ, Pool RR, Spaulding K (December 2008). "Bilateral testicular germ cell-sex cord-stromal tumor in a pekin duck (Anas platyrhynchos domesticus)". J. Avian Med. Surg. 22 (4): 315–9. PMID 19216259. doi:10.1647/2007-017.1. 
  6. ^ Gopinath D, Draffan D, Philbey AW, Bell R (December 2008). "Use of intralesional oestradiol concentration to identify a functional pulmonary metastasis of canine sertoli cell tumour". J Small Anim Pract. 50 (4): 198–200. PMID 19037884. doi:10.1111/j.1748-5827.2008.00671.x. 
  7. ^ Vegter AR, Kooistra HS, van Sluijs FJ, van Bruggen LW, Ijzer J, Zijlstra C, Okkens AC (October 2008). "Persistent Mullerian Duct Syndrome in a Miniature Schnauzer Dog with Signs of Feminization and a Sertoli Cell Tumour". Reprod. Domest. Anim. 45 (3): 447–52. PMID 18954385. doi:10.1111/j.1439-0531.2008.01223.x. 

External links[edit]