GU

Question 2

testicular tumours are more likely to be bilateral in which: seminomatous or non-seminiomatous?

Answer 2

non-seminomatous tumours

Question 3

Features of Leydig cell suggeseting malignancy

Answer 3

• large tumour size (>5 cm) - infiltrative margins - vascular invastion - nuclear atypia - necrosis - high mitotic rate (> 3/10 hpf)

Question 4

Inflammatory myofibroblastic tumour

Answer 4

spindled myofbiroblasts, fibroblasts and inflammatory infiltrate loosely arranged in edematous myxoid background with abundant BV and plasma cells, lymphocytes and eosinophils looks like granulations tissue or nodular fasciitis can have fibromatosis like cellular areas can have bulging of spindle cells into vascular spaces or surroundeing BV