If the diagnostic term in the pathology report is not in the list below, be sure to consult your ICD-O-3 manual.
60% of testicular cancers will show a single cell type; the remainder will show mixed cell types.
| Germ cell tumors (germinoma, 90643; germ cell tumor, nonseminomatous, 90653) | ||
Seminoma (90613, 90623, 90663; most common 40-50%;
slow to spread; more likely to occur in older patients; highly radiosensitive;
good prognosis) |
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| Non-Seminoma (teratoma and embryonal carcinoma comprise 50% of all testicular cancers) | ||
| Teratoma (90803, 90823, 90833) | ||
| Malignant trophoblastic teratoma (91023) | ||
| Embryonal carcinoma (90703; also called embryonal cell carcinoma--poorer
prognosis) Teratocarcinoma (90813; a combination of teratoma and embryonal carcinoma; may metastasize as embryonal or teratocarcinoma) |
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| Yolk sac tumor (90713; also called endodermal sinus tumor, infantile embryonal carcinoma; common under the age of 15) | ||
| Choriocarcinoma (91003; rare < 0.5%; aggressive; metastasize only as choriocarcinomas) | ||
| Choriocarcinoma with other germ cell elements (91013) | ||
| Note: seminoma mixed with non-seminoma should be considered non-seminoma for treatment decisions. | ||
| Others--less than 5% of testicular cancers (not included in testicular staging) | ||
| Non-germinal tumors--arise from testicular mesodermal tissue; rare as malignancies | ||
| Leydig cell tumor (86503) | ||
| Sertoli cell tumor (86403) | ||
| Lymphoma--most common in men over 60 years old | ||
| Rhabdomyosarcoma (rare) | ||
| Melanoma | ||