[Adult Prepubertal-Type Teratoma Diagnosed Using Fish Analysis : A Case Report]

Hinyokika Kiyo. 2021 Oct;67(10):471-474. doi: 10.14989/ActaUrolJap_67_10_471.
[Article in Japanese]

Abstract

A 34-year-old man visited our hospital complaining of a small painless left scrotal mass. His serum alpha-fetoprotein and human chorionic gonadotropin-beta levels were normal. Ultrasonography revealed a solitary 14 mm mass. Magnetic resonance imaging revealed a mass with high intensity on T2-weighted imaging. Computed tomography revealed a heterogeneous tumor in the left scrotum. Left high orchiectomy was performed. The histopathological diagnosis was a teratoma without germ cell neoplasia in situ (GCNIS). Fluorescence in situ hybridization analysis showed no appearance of i(12p). The patient was clinically diagnosed as having a prepubertal-type testicular teratoma. Adult teratomas contain GCNIS and are aggressively treated as malignant germ cell tumors. However, a prepubertal-type teratoma is benign and does not relapse. It is essential to validate the appearance of i(12p) to differentiate prepubertal and postpubertal-type teratoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • In Situ Hybridization, Fluorescence
  • Male
  • Neoplasm Recurrence, Local
  • Neoplasms, Germ Cell and Embryonal*
  • Orchiectomy
  • Teratoma* / diagnostic imaging
  • Teratoma* / surgery
  • Testicular Neoplasms* / surgery