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Sertoli Cell Tumor

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  • First Online:
Uropathology

Part of the book series: Encyclopedia of Pathology ((EP))

  • 15 Accesses

Synonyms

Androblastoma

Definition

Sertoli cell tumor (SCT) is a tumor of the gonadal stroma; it is composed of cells resembling embryonal, prepubertal, and adult Sertoli cells.

Clinical Features

  • Incidence

    SCT accounts for <1% of all testicular tumors, yet it is the second most common sex cord–stromal tumor.

  • Age

    SCT occurs in a wide range of age, most occurring in adults.

  • Sex

    Male.

  • Site

    Testis.

  • Treatment

    Orchiectomy remains the only therapeutic option, because radiotherapy and chemotherapy have been unsuccessful to date.

  • Outcome

    About 12% of SCTs are malignant; malignant cases have also been reported in children (Young et al. 1998). Gynecomastia seems to be more frequent in malignant cases. Features predictive of aggressive behavior include extratesticular spread, size >5 cm, high-grade cytological atypia, > 5 mitoses per 10/HPFs, and necrosis and lymphovascular invasion. The distribution of organ metastases, as in malignant Leydig tumors, involves retroperitoneal lymph nodes and, when...

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References and Further Reading

  • Divatia, M., Smith, S., Colecchia, M., Aron, M., Amin, M., Shen, S. S., Hansel, D., Tamboli, P., Paner, G. P., de Peralta-Venturina, M., Herrera Hernandez, L., & Gowen, A. M. (2015). Diagnostic utility of comprehensive immunohistochemical (IHC) panel for testicular sexcord stromal tumors (TSCST): A study of 76 cases. USCAP 2015. Abstract book. Abstract 860, p. 216A.

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  • Kao, C. S., Kum, J. B., Idrees, M. T., & Ulbright, T. M. (2014). Sclerosing Sertoli cell tumor of the testis: A clinicopathologic study of 20 cases. The American Journal of Surgical Pathology, 38(4), 510–517.

    Article  PubMed  Google Scholar 

  • Perrone, F., Bertolotti, A., Montemurro, G., Paolini, B., Pierotti, M. A., & Colecchia, M. (2014). Frequent mutation and nuclear localization of β-catenin in sertoli cell tumors of the testis. The American Journal of Surgical Pathology, 38(1), 66–71.

    Article  PubMed  Google Scholar 

  • Young, R. H., Koelliker, D. D., & Scully, R. E. (1998). Sertoli cell tumors of the testis, not otherwise specified: A clinicopathologic analysis of 60 cases. The American Journal of Surgical Pathology, 22(6), 709–721.

    Article  CAS  PubMed  Google Scholar 

  • Zukerberg, L. R., Young, R. H., & Scully, R. E. (1991). Sclerosing Sertoli cell tumor of the testis. A report of 10 cases. The American Journal of Surgical Pathology, 15(9), 829–834.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Maurizio Colecchia .

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Cite this entry

Colecchia, M., Bertolotti, A. (2020). Sertoli Cell Tumor. In: Raspollini, M.R., Lopez-Beltran, A. (eds) Uropathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-41894-6_3755

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  • DOI: https://doi.org/10.1007/978-3-030-41894-6_3755

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-41893-9

  • Online ISBN: 978-3-030-41894-6

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