Testicle yolk sac tumor
Testicle yolk sac tumor
Updated: 01/26/2021
© Jun Wang, MD, PhD
General features
- Also called endodermal sinus tumor of Teilum
- Most common testicular tumor age 3 or less, often pure
- Adults: usually part of a mixed tumor, has prognosis of embryonal carcinoma
- May arise from seminoma
Pathological findings
- Morphology same as ovarian yolk sac tumor
- Hemorrhage and necrosis
- Schiller-Duval body: central blood vessel enveloped by germ cells within a space similarly lined by germ cells, resembles glomerulus
Marker
- Elevated serum AFP
- Positive: AFP, cytokeratin, variable PLAP
- Negative: hCG
Management
- Orchiectomy with or without retroperitoneal lymph node dissection, chemo if with metastasis
- Good prognosis if < 3 years old
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