Abstract
A testicular sex cord stromal tumour with granulosa cell differentiation, typical of granulosa cell tumours of the adult type, was investigated immunohistologically on snap frozen and paraffin wax embedded material. The predominance of vimentin and the additional expression of cytokeratin subtypes 8 and 18, as well as the negative staining for epithelial membrane antigen, accorded with results previously reported, for ovarian granulosa cell tumours; the lack of expression of desmoplakin, however, was a distinctive feature. Together with negative staining for leucocyte common antigen, the antigen pattern facilitates the differential diagnosis between granulosa cell tumour and undifferentiated carcinoma or gonadal lymphoma, although its suitability for differentiating within the group of gonadal stromal tumours seems to be limited. The small growth fraction, shown by the monoclonal antibody Ki-67, is typical of the clinical behaviour of granulosa cell tumours. The expression of oestrogen and progesterone receptors, also recently found in testicular Leydig cell tumours, may provoke new approaches to the management of testicular granulosa cell tumours, as well as a new hypothesis on the development of these tumours.
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- ANDERVONT H. B., SHIMKIN M. B., CANTER H. Y. The growth of estrogen-induced interstitial-cell testicular tumors in BALB/c mice. J Natl Cancer Inst. 1960 May;24:1219–1237. [PubMed] [Google Scholar]
- Benjamin E., Law S., Bobrow L. G. Intermediate filaments cytokeratin and vimentin in ovarian sex cord-stromal tumours with correlative studies in adult and fetal ovaries. J Pathol. 1987 Aug;152(4):253–263. doi: 10.1002/path.1711520403. [DOI] [PubMed] [Google Scholar]
- Berns E. M., Brinkmann A. O., Rommerts F. F., Mulder E., van der Molen H. J. Changes of oestrogen receptor levels in Leydig cells from mice and rats during culture. J Steroid Biochem. 1985 Mar;22(3):293–298. doi: 10.1016/0022-4731(85)90428-5. [DOI] [PubMed] [Google Scholar]
- Cordell J. L., Falini B., Erber W. N., Ghosh A. K., Abdulaziz Z., MacDonald S., Pulford K. A., Stein H., Mason D. Y. Immunoenzymatic labeling of monoclonal antibodies using immune complexes of alkaline phosphatase and monoclonal anti-alkaline phosphatase (APAAP complexes). J Histochem Cytochem. 1984 Feb;32(2):219–229. doi: 10.1177/32.2.6198355. [DOI] [PubMed] [Google Scholar]
- Czernobilsky B., Moll R., Leppien G., Schweikhart G., Franke W. W. Desmosomal plaque-associated vimentin filaments in human ovarian granulosa cell tumors of various histologic patterns. Am J Pathol. 1987 Mar;126(3):476–486. [PMC free article] [PubMed] [Google Scholar]
- Düe W., Dieckmann K. P., Loy V., Stein H. Immunohistological determination of oestrogen receptor, progesterone receptor, and intermediate filaments in Leydig cell tumours, Leydig cell hyperplasia, and normal Leydig cells of the human testis. J Pathol. 1989 Mar;157(3):225–234. doi: 10.1002/path.1711570309. [DOI] [PubMed] [Google Scholar]
- Düe W., Loy V. Evidence of interepithelial seminoma spread into the rete testis by immunostaining of paraffin sections with antibodies against cytokeratin and vimentin. Urol Res. 1988;16(5):389–393. doi: 10.1007/BF00256049. [DOI] [PubMed] [Google Scholar]
- Düe W., Pickartz H., Gerdes J., Stein H. Die Bedeutung des Nachweises von Intermediärfilamenten und epithelialem Membran-Antigen für die Differentialdiagnose und die histogenetische Differenzierung von Ovarialtumoren. Verh Dtsch Ges Pathol. 1986;70:295–299. [PubMed] [Google Scholar]
- Eble J. N., Hull M. T., Warfel K. A., Donohue J. P. Malignant sex cord-stromal tumor of testis. J Urol. 1984 Mar;131(3):546–550. doi: 10.1016/s0022-5347(17)50491-7. [DOI] [PubMed] [Google Scholar]
- Fox H. Sex cord-stromal tumours of the ovary. J Pathol. 1985 Feb;145(2):127–148. doi: 10.1002/path.1711450202. [DOI] [PubMed] [Google Scholar]
- Gerdes J., Lemke H., Baisch H., Wacker H. H., Schwab U., Stein H. Cell cycle analysis of a cell proliferation-associated human nuclear antigen defined by the monoclonal antibody Ki-67. J Immunol. 1984 Oct;133(4):1710–1715. [PubMed] [Google Scholar]
- Gerdes J., Pickartz H., Brotherton J., Hammerstein J., Weitzel H., Stein H. Growth fractions and estrogen receptors in human breast cancers as determined in situ with monoclonal antibodies. Am J Pathol. 1987 Dec;129(3):486–492. [PMC free article] [PubMed] [Google Scholar]
- Kaplan G. W., Cromie W. J., Kelalis P. P., Silber I., Tank E. S., Jr Gonadal stromal tumors: a report of the Prepubertal Testicular Tumor Registry. J Urol. 1986 Jul;136(1 Pt 2):300–302. doi: 10.1016/s0022-5347(17)44847-6. [DOI] [PubMed] [Google Scholar]
- Lawrence W. D., Young R. H., Scully R. E. Juvenile granulosa cell tumor of the infantile testis. A report of 14 cases. Am J Surg Pathol. 1985 Feb;9(2):87–94. doi: 10.1097/00000478-198502000-00003. [DOI] [PubMed] [Google Scholar]
- Lusch C. J., Mercurio T. M., Runyeon W. K. Delayed recurrence and chemotherapy of a granulosa cell tumor. Obstet Gynecol. 1978 Apr;51(4):505–507. doi: 10.1097/00006250-197804000-00025. [DOI] [PubMed] [Google Scholar]
- Marshall F. F., Kerr W. S., Jr, Kliman B., Scully R. E. Sex cord-stromal (gonadal stromal) tumors of the testis: a report of 5 cases. J Urol. 1977 Feb;117(2):180–184. doi: 10.1016/s0022-5347(17)58389-5. [DOI] [PubMed] [Google Scholar]
- Miettinen M., Lehto V. P., Virtanen I. Expression of intermediate filaments in normal ovaries and ovarian epithelial, sex cord-stromal, and germinal tumors. Int J Gynecol Pathol. 1983;2(1):64–71. doi: 10.1097/00004347-198301000-00006. [DOI] [PubMed] [Google Scholar]
- Miettinen M., Virtanen I., Talerman A. Intermediate filament proteins in human testis and testicular germ-cell tumors. Am J Pathol. 1985 Sep;120(3):402–410. [PMC free article] [PubMed] [Google Scholar]
- Miettinen M., Wahlstrom T., Virtanen I., Talerman A., Astengo-Osuna C. Cellular differentiation in ovarian sex-cord-stromal and germ-cell tumors studied with antibodies to intermediate-filament proteins. Am J Surg Pathol. 1985 Sep;9(9):640–651. doi: 10.1097/00000478-198509000-00003. [DOI] [PubMed] [Google Scholar]
- Noguchi S., Nishizawa Y., Takatsuka D., Sato B., Matsumoto K. Stimulative effects of estrogens on tumor growth and 5 alpha-steroid production in a mouse Leydig cell tumor line (T 124958-R). Cancer Res. 1986 Feb;46(2):573–576. [PubMed] [Google Scholar]
- Pinto M. M. Juvenile granulosa cell tumor of the infant testis: case report with ultrastructural observations. Pediatr Pathol. 1985;4(3-4):277–289. doi: 10.3109/15513818509026901. [DOI] [PubMed] [Google Scholar]
- Raju U., Fine G., Warrier R., Kini R., Weiss L. Congenital testicular juvenile granulosa cell tumor in a neonate with X/XY mosaicism. Am J Surg Pathol. 1986 Aug;10(8):577–583. doi: 10.1097/00000478-198608000-00008. [DOI] [PubMed] [Google Scholar]
- Sato B., Miyashita Y., Maeda Y., Noma K., Kishimoto S., Matsumoto K. Effects of estrogen and vanadate on the proliferation of newly established transformed mouse Leydig cell line in vitro. Endocrinology. 1987 Mar;120(3):1112–1120. doi: 10.1210/endo-120-3-1112. [DOI] [PubMed] [Google Scholar]
- Schwartz P. E., Smith J. P. Treatment of ovarian stromal tumors. Am J Obstet Gynecol. 1976 Jun 1;125(3):402–411. doi: 10.1016/0002-9378(76)90577-9. [DOI] [PubMed] [Google Scholar]
- Stefanini M., De Martino C., Zamboni L. Fixation of ejaculated spermatozoa for electron microscopy. Nature. 1967 Oct 14;216(5111):173–174. doi: 10.1038/216173a0. [DOI] [PubMed] [Google Scholar]
- Stein H., Gatter K., Asbahr H., Mason D. Y. Use of freeze-dried paraffin-embedded sections for immunohistologic staining with monoclonal antibodies. Lab Invest. 1985 Jun;52(6):676–683. [PubMed] [Google Scholar]
- Talerman A. Pure granulosa cell tumour of the testis. Report of a case and review of the literature. Appl Pathol. 1985;3(3):117–122. [PubMed] [Google Scholar]
- Uehling D. T., Smith J. E., Logan R., Hafez G. R. Newborn granulosa cell tumor of the testis. J Urol. 1987 Aug;138(2):385–386. doi: 10.1016/s0022-5347(17)43155-7. [DOI] [PubMed] [Google Scholar]
- Young R. H., Lawrence W. D., Scully R. E. Juvenile granulosa cell tumor--another neoplasm associated with abnormal chromosomes and ambiguous genitalia. A report of three cases. Am J Surg Pathol. 1985 Oct;9(10):737–743. doi: 10.1097/00000478-198510000-00005. [DOI] [PubMed] [Google Scholar]
- Zaloudek C., Norris H. J. Sertoli-Leydig tumors of the ovary. A clinicopathologic study of 64 intermediate and poorly differentiated neoplasms. Am J Surg Pathol. 1984 Jun;8(6):405–418. doi: 10.1097/00000478-198406000-00001. [DOI] [PubMed] [Google Scholar]
- Zimniski S. J., Melner M. H., Puett D. Induction of an estrogen-dependent early steroidogenic lesion in murine Leydig tumor cells. Endocrinology. 1985 Jun;116(6):2583–2591. doi: 10.1210/endo-116-6-2583. [DOI] [PubMed] [Google Scholar]
- von Overbeck J., Stähli C., Gudat F., Carmann H., Lautenschlager C., Dürmüller U., Takacs B., Miggiano V., Staehelin T., Heitz P. U. Immunohistochemical characterization of an anti-epithelial monoclonal antibody (mAB lu-5). Virchows Arch A Pathol Anat Histopathol. 1985;407(1):1–12. doi: 10.1007/BF00701324. [DOI] [PubMed] [Google Scholar]




