Testis (undescended), Yolk-sac tumour, AFP stain

Yolk sac tumours are the most common testicular tumours in infants and young children. They may also occur in adults, usually as a component of a mixed germ cell tumour. Microscopically, yolk sac tumours often have a heterogenous appearance with multiple architectural patterns. This case demonstrates a mixture of microcystic, reticular, glandular/tubular, and solid patterns amongst a variably myxoid stroma. Focal areas consistent with Schiller-Duval bodies are also seen (fibrovascular cores with tumour cells, surrounded by cystic spaces and a second layer of tumour cells, resembling glomeruli). Intercellular eosinophilic globules are also seen throughout the tumour and are composed of alpha-fetoprotein (AFP) and alpha-1-antitrypsin. AFP staining by immunohistochemistry is characteristic of this tumour (see accompanying slide with AFP immunohistochemistry).

Cryptorchidism is the most common birth defect of the male genital tract and is characterized by the failure of the testes to descend into the scrotal sac. Cryptorchidism, if left uncorrected, is associated with sterility and an increased risk of developing testicular cancer. Microscopically the changes of cryptorchidism can be seen within the seminiferous tubules which are often smaller than normal with thickened and hyalinized basement membrane and varying degrees of germinal hypoplasia.

This slide shows H&E stain. See Related Content section for AFP stain.

Yolk sac tumours are the most common testicular tumours in infants and young children. They may also occur in adults, usually as a component of a mixed germ cell tumour. Microscopically, yolk sac tumours often have a heterogenous appearance with multiple architectural patterns. This case demonstrates a mixture of microcystic, reticular, glandular/tubular, and solid patterns amongst a variably myxoid stroma. Focal areas consistent with Schiller-Duval bodies are also seen (fibrovascular cores with tumour cells, surrounded by cystic spaces and a second layer of tumour cells, resembling glomeruli). Intercellular eosinophilic globules are also seen throughout the tumour and are composed of alpha-fetoprotein (AFP) and alpha-1-antitrypsin. AFP staining by immunohistochemistry is characteristic of this tumour as seen in this slide. See Related Content section for H&E stain.