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Classification of tumors of testis.

In adult patients, testicular tumors consist predominantly of seminoma, embryonal carcinoma, teratoma, choriocarcinoma and mixtures of these. In infants and children, yolk sac tumor and teratoma are the usual tumors; in older age patients, it is predominantly spermatocytic seminoma and malignant lymphoma, although the others may occur as well. Leydig and Sertoli-granulosa cell tumors occur in all ages. The introduction of tumor markers and the capability to demonstrate these in tissue are the most important recent developments. However, there is great need for correlation of histology with these markers and histological demonstration of them.

Choriocarcinoma↗

[Granulosa cell and thecacell tumors in 25 cases (author's transl)].

Granulosa cell tumors are derived from specific ovarion stroma and have the ability to produce hormones. In the 25 cases of granulosa cell tumors no concommitant endometrial carcinoma was found. Because of the varying degree of malignancy tumors which contain granulosa cells must be differentiated from pure theca cell tumors. Granulosa cell tumors are frequently malignant. Theca cell tumors are benign. The treatment of granulosa cell tumors is fundamentally the same as that of epithelial cancers of the ovary. The treatment of theca cell tumors is conservative.

Adult↗

Scintigraphic detection of gynaecological tumours by 99mTc-HSA blood pool imaging.

Three cases of scintigraphic visualization of gynaecological tumours by 99mTc-HSA blood pool imaging are presented, i.e. one case of fibrothecoma ("cold" area visualization) and two cases of fibromyoma ("hot" area visualization). It is suggested that this technique may be useful in the preoperative evaluation of gynaecological tumours and their vascularity.

Adult↗

Adnexal torsion in postmenopausal women.

Little has been published about adnexal torsion among postmenopausal women. To address this question, we reviewed the records of all postmenopausal women with a postoperative diagnosis of ovarian neoplasm over a 10-year period. Among 301 tumors, 19 (6%) underwent torsion. Serous cystadenoma was the most frequent tumor type. No malignant neoplasm underwent torsion in this series. Adnexal torsion is not limited to women of reproductive age.

Adnexal Diseases↗