case_images: PMC10883177_01
case_images: (a) Clinical photograph of the testicular mass. (b) Computed tomography (CT) image showing both suprarenal and testicular space occupying lesion (SOL). (c) CT image showing testicular involvement. (d) Postchemotherapy clinical photograph
case_images: JIAPS-29-56-g001.jpg
case_images: PMC10883177_01_JIAPS-29-56-g001.jpg
case_images: jiaps.jiaps_160_23-f001
case_images: Multiple nontender, variable-sized, firm nodules were noted in the scrotum [Figure 1a]. Magnetic resonance imaging of the whole abdomen showed a large round heterogeneous mass lesion in the right supra renal region measuring (10.5 cm x 9 cm x 7.5) cm, compressing the adjacent liver and inferiorly displacing the kidney [Figure 1b]. Heterogeneous lesions involving both testes (left > right) and scrotal sacs were also seen [Figure 1c]. The testicular nodules disappeared subsequently [Figure 1d].
case_images: (a) Low-power view of fine-needle aspiration cytology (FNAC) smear of suprarenal space occupying lesion (SOL). Inset demonstrates the presence of rosettes and neuropil May Grunwald-Giemsa (MGG, x100). (b) Low-power view of FNAC smear of testicular SOL showing clusters as well as dispersed populations of small round cells with hyperchromatic nuclei, salt and pepper chromatin, and scanty cytoplasm, showing rosette formation around neuropil in a hemorrhagic background (PAP, x100). (c) High-power view of the same Papanicolaou (PAP, x400)
case_images: JIAPS-29-56-g002.jpg
case_images: PMC10883177_01_JIAPS-29-56-g002.jpg
case_images: jiaps.jiaps_160_23-f002
case_images: Smears prepared from the suprarenal mass showed clusters as well as dispersed populations of small round cells with hyperchromatic nuclei, stippled chromatin, and scanty cytoplasm, showing rosette formation around the neuropil in a hemorrhagic background [Figure 2].