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The seminoma cells
may not be as easy to see as you think. Some will be very large and have
vesicular nuclei and others may seem to disappear right into the lymphocytic
background. The node is largely replaced so practically everywhere you look
you should see tumor. Some of the smaller cells may resemble lymphocytes,
a feature that sometimes makes it hard to diagnose if only a very small portion
of the node is replaced. You have other such tumors in your set to compare
this one with. See this slide with the virtual microscope. |