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You cannot make your dx based on the photos. The purposes that I shared the photos here are I hope people can know the rare tumors like sertoli cell tumors can have variable growth patterns, but not only some clssic patterns. For the true cases you need to know patients' clinical information, tumor gross features, many sections of H@E slides, immunostains, even some molecular methods.
Thanks, cz
Ovarian sex cord stromal tumors are rare and may be difficult to make dx. Pure sertoli cell tumors (SCTs) may have variable growth patherns, such as open or solid tubules (most common), cords, trabeculae, solid or diffuse, retiform, pseudopapillary, alveolar, islands, spindled, glandular, lipid, oxyphilic et al. The common differential dx include endometrioid carcinoma, especially sertoli form endometrioid carcinoma, carcinoid tumor (primary or metastatic), metastatic tubular Krukenberg tumor, mesonephric tumor, sepcially female adnexal tumors of probably Wolffian origin (FATWO), Yolk sak carcinoma, and other ovarian epithelial tumors et al.
IHC stains are very important for the dx of ovarian sex cord stromal tumors.
Wish every one who read these photos understand that one category of ovarian sex cord stromal tumor (SCST) can have many different growth patterns, also various ovarian SCST can share similar growth pattern. Of cause this 现象can occur in almost all other tumors also. I may paste the web some cases with IHC in future.