Residency Program - Case of the Month
September 2013 - Presented by Michael Van Ness, M.D.
The patient is a healthy 80yrs old male with a large, right, painless scrotal swelling that has progressed in size slowly for many years. The following tumor biomarkers were performed and found to be negative: AFP, LDH, betaHCG. Scrotal ultrasound demonstrated a right paratesticular mass without involvement of testis.
Received was a large, circumscribed, most encapsulated 12.1 x 10.3 x 7.2 cm mass that revealed a yellow, homogenous, fatty cut surface.
H&E stained sections shows mixtures of mature adipose tissue with mild variation in adipocyte size and fibrous tissue with areas of fine and coarse collagen. Rare atypical cells were located in fibrous areas and near or in the walls of blood vessels. No lipoblasts were identified.
P16: Positive (not provided)
CDK4: Negative (not provided)
MDM2: Negative (not provided)