Endodermal sinus tumor

Endodermal sinus tumor (EST) is a member of the germ cell tumor group of cancers.[1] It is the most common testicular tumor in children under three,[2] and is also known as infantile embryonal carcinoma. This age group has a very good prognosis. In contrast to the pure form typical of infants, adult endodermal sinus tumors are often found in combination with other kinds of germ cell tumor, particularly teratoma and embryonal carcinoma. While pure teratoma is usually benign, endodermal sinus tumor is malignant.

Endodermal sinus tumor
Other namesYolk sac tumor (YST)
Micrograph showing the yolk sac component of a mixed germ cell tumour. H&E stain.
SpecialtyOncology Edit this on Wikidata

Cause

Causes for this cancer are poorly understood.

Diagnosis

The histology of EST is variable, but usually includes malignant endodermal cells. These cells secrete alpha-fetoprotein (AFP), which can be detected in tumor tissue, serum, cerebrospinal fluid, urine and, in the rare case of fetal EST, in amniotic fluid. When there is incongruence between biopsy and AFP test results for EST, the result indicating presence of EST dictates treatment.[3] This is because EST often occurs as small "malignant foci" within a larger tumor, usually teratoma, and biopsy is a sampling method; biopsy of the tumor may reveal only teratoma, whereas elevated AFP reveals that EST is also present. GATA-4, a transcription factor, also may be useful in the diagnosis of EST.[4]

Diagnosis of EST in pregnant women and in infants is complicated by the extremely high levels of AFP in those two groups. Tumor surveillance by monitoring AFP requires accurate correction for gestational age in pregnant women, and age in infants. In pregnant women, this can be achieved simply by testing maternal serum AFP rather than tumor marker AFP. In infants, the tumor marker test is used, but must be interpreted using a reference table or graph of normal AFP in infants.

Pathology

EST can have a multitude of morphologic patterns including: reticular, endodermal sinus-like, microcystic, papillary, solid, glandular, alveolar, polyvesicular vitelline, enteric and hepatoid.

  • Histopathology of endodermal sinus tumor with Schiller–Duval bodies.(a) papillary pattern combined with small tubopapillary endodermal sinus structure (Schiller–Duval body) in blue circle;(b) marked tubulopapillary sinusoidal structure with central vascular core in longitudinal section (Schiller–Duval body);(c,d) 400× g magnified image plus zoom of diagnostic round cystic Schiller–Duval body in a transverse section, with microcystic and papillary patterns around. The body has a central vessel surrounded by fibrous tissue, called the fibrovascular core, and it is surrounded by layers of the tumoral cells at the surface of that stalk. The structure is located in open cystic space also lined by tumoral cells. All those structures together are called a Schiller–Duval body and resemble primitive glomerulus. H&E stain.
    Histopathology of endodermal sinus tumor with Schiller–Duval bodies.
    (a) papillary pattern combined with small tubopapillary endodermal sinus structure (Schiller–Duval body) in blue circle;
    (b) marked tubulopapillary sinusoidal structure with central vascular core in longitudinal section (Schiller–Duval body);
    (c,d) 400× g magnified image plus zoom of diagnostic round cystic Schiller–Duval body in a transverse section, with microcystic and papillary patterns around. The body has a central vessel surrounded by fibrous tissue, called the fibrovascular core, and it is surrounded by layers of the tumoral cells at the surface of that stalk. The structure is located in open cystic space also lined by tumoral cells. All those structures together are called a Schiller–Duval body and resemble primitive glomerulus. H&E stain.[5]

Schiller–Duval bodies on histology are pathognomonic and seen in the context of the endodermal sinus-like pattern. Rarely, it can be found in the vagina.[6][7]

Treatment

Most treatments involve some combination of surgery and chemotherapy. Treatment with cisplatin, etoposide, and bleomycin has been described.[8] Before modern chemotherapy, this type of neoplasm was highly lethal, but the prognosis has significantly improved since then. When endodermal sinus tumors are treated promptly with surgery and chemotherapy, fatal outcomes are exceedingly rare.[9]

See also

References
  1. "Endodermal Sinus Tumor". Retrieved 2018-10-10.
  2. Hari, Anil; Grossfeld, Gary; Hricak, Hedvig (2002-01-01), Bragg, David G.; Rubin, Philip; Hricak, Hedvig (eds.), "Chapter 29 - Tumors of the Scrotum", Oncologic Imaging, Oxford: Elsevier, pp. 603–628, doi:10.1016/b0-72-167494-1/50032-3, ISBN 978-0-7216-7494-0, retrieved 2020-10-21
  3. Luther N, Edgar MA, Dunkel IJ, Souweidane MM (Aug 2006). "Correlation of endoscopic biopsy with tumor marker status in primary intracranial germ cell tumors". Journal of Neuro-Oncology. 79 (1): 45–50. doi:10.1007/s11060-005-9110-0. PMID 16598424. S2CID 19124218.
  4. Siltanen S, Anttonen M, Heikkilä P, Narita N, Laitinen M, Ritvos O, Wilson DB, Heikinheimo M (Dec 1999). "Transcription Factor GATA-4 Is Expressed in Pediatric Yolk Sac Tumors". American Journal of Pathology. 155 (6): 1823–9. doi:10.1016/S0002-9440(10)65500-9. PMC 1866939. PMID 10595911. Archived from the original on 2009-03-16.
  5. Fischerova D, Indrielle-Kelly T, Burgetova A, Bennett RJ, Gregova M, Dundr P; et al. (2022). "Yolk Sac Tumor of the Omentum: A Case Report and Literature Review". Diagnostics (Basel). 12 (2). doi:10.3390/diagnostics12020304. PMC 8871053. PMID 35204394.{{cite journal}}: CS1 maint: multiple names: authors list (link)
    - "This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/)."
  6. Bhatt MD, Braga LH, Stein N, Terry J, Portwine C (July 2015). "Vaginal Yolk Sac Tumor in an Infant: A Case Report and Literature Review of the Last 30 Years". Journal of Pediatric Hematology/Oncology. 37 (5): e336–40. doi:10.1097/MPH.0000000000000325. PMID 25851552. S2CID 7605939.
  7. Coran, Arnold G.; Caldamone, Anthony; Adzick, N. Scott; Krummel, Thomas M.; Laberge, Jean-Martin; Shamberger, Robert (2012-01-25). Pediatric Surgery E-Book. Elsevier Health Sciences. ISBN 978-0323091619.
  8. Motegi M, Takakura S, Takano H, Tanaka T, Ochiai K (February 2007). "Adjuvant chemotherapy in a pregnant woman with endodermal sinus tumor of the ovary". Obstetrics and Gynecology. 109 (2 Pt2): 537–40. doi:10.1097/01.AOG.0000245450.62758.47. PMID 17267887. S2CID 24159507.
  9. Prepubertal Testicular and Paratesticular Tumors at eMedicine


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