MEETING No. 29, CAMAIORE (LUCCA), MARCH 17th, 2001

Case 1
Case 2
Case 3
Case 4
Case 5
Case 6
Case 7

Case 3

"INGUINAL MASS"
A. ROSSI - Ospedale di Grosseto
(pict. by dr. Faravelli)

Clinical history: a 52y.o. man presents with a large inguinal mass, which at surgical operation appears to be from the spermatic cord ( (pict. 1)). Macroscopic description: a 9 cm, soft, intra-funicular mass;, cut section it has yellow-greyish colour and mucoid appearance; there are no haemorrage or necrotic areas.
Microscopic description: histological sections of the testis show no evidence of disease. Sections from the cord mass show a myxoid stroma with a marked proliferation of blood vessels ( (pict. 2) - (pict. 3) - (pict. 4)) and numerous ganglion-like giant cell with eosinophilic cytoplasm, marked nuclear hyperchromatism, atypia and prominent nucleoli ( (pict. 5) - (pict. 6) - (pict. 7)).
These cells are positive with the immunohistochemical staining for Vimentin ( (pict. 8)) and negative for Actin ( (pict. 9)).
The same appearance with the myxoid stroma and giant cells is observed all along the spermatic cord.


Diagnosis

pict. 1	pict. 2
pict. 3	pict. 4
pict. 5	pict. 6
pict. 7	pict. 8
pict. 9

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