Anatomical Pathology Interesting Case Conference

Date of Presentation:3/30/2016

Attending pathologist: Lynn Schoenfield, M.D.

Presented by: Jesus Adrian Chavez, M.D.

Prepared by: Jesus Adrian Chavez, M.D.

Organ:Lymph node (metastasis)

HISTORY:

28 year-old male presents with left enlarged supraclavicular mass. Imaging revealed abdominal and retroperitoneal lymphadenopathy. Excisional biopsy is performed after FNA results.

Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue

Based on the clinical information; histologic features and immunologic profile, what is your diagnosis for this metastatic lesion?

  1. Anaplastic Large Cell lymphoma
  2. Embryonal carcinoma
  3. Mixed germ cell tumor
  4. Choriocarcinoma
Mixed germ cell tumor; composed of embryonal and choriocarcinoma

CASE SUMMARY