case_images: PMC6874974_01
case_images: CT of the abdomen and pelvis: enlarged contents of the left hemiscrotum with calcifications (arrow).
case_images: CRIPA2019-5273607.001.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.001.jpg
case_images: fig1
case_images: The left hemiscrotum showed enlarged contents with calcifications (Figure 1).
case_images: Gross picture showing enlarged left testis.
case_images: CRIPA2019-5273607.002.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.002.jpg
case_images: fig2
case_images: On gross examination, the testicle was enlarged (Figure 2), measuring 7 x 5.4 x 5 cm, and the spermatic cord was 6.7 x 2.6 cm.
case_images: Cut surface of the testicular mass showing areas of necrosis, calcification, and cystic area.
case_images: CRIPA2019-5273607.003.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.003.jpg
case_images: fig3
case_images: Cut surface (Figure 3) showed a well-circumscribed variegated mass, measuring 7.0 x 5.2 x 4.8 cm.
case_images: Low power (a) and high power (b) views showing malignant spindle cells with abundant mitoses.
case_images: CRIPA2019-5273607.004.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.004.jpg
case_images: fig4
case_images: Microscopic examination of the mass revealed predominantly overt malignant spindled cells displaying pleomorphism, hyperchromasia, and increased mitosis, with extensive necrosis in the background (Figure 4).
case_images: Areas of tumor showing rhabdomyoblastic differentiation.
case_images: CRIPA2019-5273607.005.jpg
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case_images: fig5
case_images: There were cells with abundant eosinophilic cytoplasm, some of which with striations, indicating rhabdomyoblastic differentiation (Figure 5).
case_images: Teratomatous components: glandular epithelium (a), ciliated columnar epithelium (b), cartilage (c), and epidermoid cyst (d).
case_images: CRIPA2019-5273607.006.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.006.jpg
case_images: fig6
case_images: Scrutinous searching further identified different benign tissues including cartilage, squamous epithelium, and rare bone, respiratory and glandular epithelium (Figure 6).
case_images: Tumor showing positive desmin (a) and vimentin (b).
case_images: CRIPA2019-5273607.007.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.007.jpg
case_images: fig7
case_images: Immunohistochemistry revealed that the tumor cells were positive for desmin and vimentin (Figure 7).
case_images: Myo-D positive in rhabdoid cells.
case_images: CRIPA2019-5273607.008.jpg
case_images: PMC6874974_01_CRIPA2019-5273607.008.jpg
case_images: fig8
case_images: The rhabdoid cells were positive for myogenin and focally weakly positive for MyoD (Figure 8).