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Carcinoma‐in‐situ of the testis: possible origin from gonocytes and precursor of all types of germ cell tumours except spermatocytoma

 

作者: N. E. SKAKKEBÆK,   J. G. BERTHELSEN,   A. GIWERCMAN,   J. MÜLLER,  

 

期刊: International Journal of Andrology  (WILEY Available online 1987)
卷期: Volume 10, issue 1  

页码: 19-28

 

ISSN:0105-6263

 

年代: 1987

 

DOI:10.1111/j.1365-2605.1987.tb00161.x

 

出版商: Blackwell Publishing Ltd

 

关键词: Carcinoma‐in‐situ testis;gonocytes;seminoma;nonseminoma;spermatocytoma;spermatocytic seminoma;histogenesis

 

数据来源: WILEY

 

摘要:

Based on evidence from morphological and histochemical studies and from clinical experience, the following hypotheses are proposed: (1) carcinoma‐in‐situ (CIS) germ cells are malignant gonocytes; (2) these CIS gonocytes have some capacity to regress into more primitive, totipotent embryonic cells which can give rise to all types of nonseminomatous germ cell tumours; (3) the tumour germ cells of classical seminomas are malignant gonocytes derived from CIS gonocytes which have lost their ability to regress into totipotent embryonic cells; (4) the ability of CIS gonocytes to regress into totipotent embryonic cells decreases with age, whereas the capacity to form classical seminoma cells is preserved; (5) the transformation of CIS gonocytes into invasive tumours is dependent on factors such as gonadotrophins and/or testicular steroids; (6) the pathogenesis of classical and spermatocytic seminoma are unrelated.As a consequence of these hypotheses an alternative nomenclature for carcinoma‐in‐situ, seminoma and dysgerminoma is su

 

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