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.
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.
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.
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.
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.
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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
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