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Male Reproductive

 




Image Slide # Tissue Mag Feature
1 Prostate Gross Nodular hyperplasia. Note bulging nodules of the periurethral area (central or transitional zone) compressing the slit-like urethra. Note also the compressed peripheral zone.
2 Prostate LP Nodular hyperplasia. Note the single nodule composed of proliferating glands (and small amount of stroma) with some compression of the adjacent surrounding prostate glands and stroma.
3 Prostate MP Nodular hyperplasia showing proliferating glands and some compressed glands at the periphery.
4 Prostate HP Higher magnification of glands from a case of nodular hyperplasia to show benign appearance (no nuclear enlargement, no prominent nucleoli and some foci with 2 cell layers).
5 Prostate LP Nodular hyperplasia. Nodule of proliferating benign glands.
6 Prostate HP Benign gland with two cell layers. (Absence of two cell layers does not prove malignancy, but thepresence of two cell layers is a good indication of a gland's benign nature).
7 Testis Gross Embryonal carcinoma. Note extensive hemorrhage (black areas) and necrosis (yellowish tan foci). (This appearance is not specific for embryonal carcinoma but could be found in most of the malignant, non-seminomatous germ cell tumors).
8 Testis LP Embryonal carcinoma. Note benign seminiferous tubules and the areas of tumor which at low power appears as nodules of closely spaced cells with clear slits. Areas of hemorrhage and necrosis appear as the more red area.
9 Testis MP Embryonal carcinoma. Nodule of tumor surrounded by benign seminiferous tubules.
10 Testis MP Same.
11 Testis MP Embryonal carcinoma. Note glandular, alveolar, and tubular areas.
12 Testis HP Embryonal carcinoma. Note indistinct cell borders, large nuclei, some with hyperchromasia, and prominent nucleoli.
13 Testis LP Testicular infarct. Note hemorrhage and eosinophilia of the seminiferous tubules.
14 Testis MP Testicular infarct. Note the eosinophilia of seminiferous tubular cells with loss of some nuclei (coagulation necrosis). (Remaining nuclei are pyknotic [shrunken and dark], or karyolytic [pale or faded], changes that occur prior to nuclear loss in necrosis.)
15 Prostate Gross Prostatic adenocarcinoma. Landmarks for orientation are not clear. However, the irregular whitish-tan focus of carcinoma is peripheral and most likely posterior. Note the needle biopsy tract.
16 Prostate Gross Prostatic carcinoma and nodular hyperplasia. Note the circumscribed nodules in the periurethral zone compressing the urethra. Note the poorly defined, white, infiltrative carcinoma in the periphery (posterior) of the prostate.
17 Vertebra Gross Metastatic prostatic carcinoma. Note the osteoblastic appearance (looks like increased bone) and also disruption of one disc.
18 Prostate LP Prostatic adenocarcinoma. Note the haphazardly infiltrating glands. Note the extension between the few large benign glands at the periphery.
19 Prostate MP Same
20 Prostate HP Prostatic adenocarcinoma. The glands are lined by a single layer of cells containing large nuclei and prominent nucleoli. Compare to the cells of the residual large benign gland at one corner of the slide. (Two cell layers may not be easily identified in the benign gland, butthe nuclei are small and there are no prominent nucleoli.) 
21 Testis Gross Seminoma. Bulging gray or tan-white tumor with focal congestion and hemorrhage, but no evidence of necrosis.
22 Testis LP Seminoma. Note characteristic separation of tumor into nests by thin septa.
23 Testis MP Seminoma. Nests of large cells with clear cytoplasm separated into nests by thin septa containing lymphocytes.
24 Testis HP Seminoma. Same as 23. Also note that many tumor cells have distinct cell membranes.
25 Testis HP Same as 24.