Case of the Month - February 2024
Julia Rivera-Sustache, MD, Ritu Bhalla, MD
Case vignette:
A 25-year-old male presented to his primary care physician for evaluation of a dull
right lower abdomen pain developed over a period of three months. Physical examination
revealed a right sided inguinal hernia with an empty right scrotal sac. Subsequent
imaging confirmed the presence of the right testicle within the inguinal canal. A
right radical orchiectomy was performed, revealing a 3.8 x 1.5 x 1.2 cm testicle with
a tan-yellow, homogeneous cut surface. Representative sections stained with hematoxylin
and eosin (H&E) are demonstrated in the figures below.
Which of the following is the most likely diagnosis?
A. Sertoli cell tumor not otherwise specified
B. Intratubular large cell hyalinizing Sertoli cell neoplasia
C. Sertoli cell nodule
D. Tubular hamartoma
Click here for the answer and discussion