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Pineal germinomas and testicular seminoma: a comparative ultrastructural study with special references to early carcinomatous transformation.

We have investigated the ultrastructural characteristics of 16 cases of pineal germinomas and compared them with those of 18 cases of testicular seminomas. Glandular differentiation of tumor cells was found in both though it was more consistently noted in pineal germinomas than in testicular seminomas. This feature was interpreted to represent early carcinomatous transformation of germinoma cells. It not only explains the difficulties occasionally encountered in distinguishing germinoma and its anaplastic variant from embryonal carcinoma, but also has implications for our understanding of germ cell neoplasia, particularly the place of germinoma/seminoma in the nosology of such tumors.