The diffuse brown color on immunohistochemistry staining indicates positive compatibility of antibody against targeted antigen. (A) 10x Inhibin (+); (B) 40x Calretinin (+); (C) 20 Vimentin (+); (D) 40 CD99 (+).

The diffuse brown color on immunohistochemistry staining indicates positive compatibility of antibody against targeted antigen. (A) 10x Inhibin (+); (B) 40x Calretinin (+); (C) 20 Vimentin (+); (D) 40 CD99 (+).

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Omar Halalsheh,1 Alia Al-Mohtaseb,2 Anas Ibrahim Al-Karasneh,3 Mustafa Mokhalad Al-Janabi,3 Amer Hussein Hallak41Department of Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan; 2Department of Pathology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan; 3Urology, King...

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... The juvenile type is usually benign, whereas the adult type has a clinical behavior that is difficult to predict. 2 Less than 100 cases of adult-type granulosa cell tumors have been reported to date of which the youngest was 12 years old of age and none of them had over 30 years history duration with reported duration varying from 2 weeks to 10 years. [3][4][5] ...
... The juvenile type mostly occurs in the first 6 months of life and has a benign course, whereas the adult type even though mostly benign, 10% have malignant potential. 5,6 Adult-type granulosa cell tumor usually manifests as a painless scrotal swelling; the minority of cases may present with gynecomastia. 2,7 Reported cases found in the literature presented between 2 weeks to 10 years of onset swelling. ...
... Our patient is the first report with over 30 years history duration. [3][4][5] The youngest ever reported case of the adult type was 12 years old, whereas the oldest subject was 87 years old. 4 The present case was 49 years old, and he reported to have had the swelling since he was 12 years old and it was never painful. None of the precedent case reports had such long history duration. ...
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Adult type granulosa cell tumours are extremely rare. Albeit mostly benign, 10% have malignant potential associated with unfavorable pathological features. The present case with the longest history duration, shows that size alone may not necessarily be unfavorable prognosticator when not associated with other factors.