Mixed Germ Cell Testicular Cancer with Left Ventricular Metastasis Presenting with Embolic Stroke and Small Bowel Tumor Seeding
Figure 2
(a) Denuded small bowel mucosa overlying clusters of tumor cells with foci of hemorrhage and necrosis. (b) The tumor in small bowel composed predominantly of mononuclear cytotrophoblasts with clear cytoplasm, distinct cellular borders, and centrally located vesicular nuclei with prominent nucleoli. (c) Lung parenchyma (right) with adjacent nests of high-grade tumor cells (left) and hemorrhage. (d) Tumor cells from lung showing a mixture of mononuclear cytotrophoblasts and multinucleate syncytiotrophoblasts.
